Individual
CHRISTINE TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2401 S 31ST ST BLDG 27, TEMPLE, TX 76508-0001
(254) 724-6300
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
60106
CA
363A00000X
Physician Assistant
Primary
PA15165
TX
Other
Enumeration date
10/18/2021
Last updated
01/13/2022
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