Individual
TUNG THOMAS TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5012 S US HIGHWAY 75, SUITE 300, DENISON, TX 75020-4587
(903) 416-6255
(903) 416-6257
Mailing address
5012 S US HIGHWAY 75 STE 300, ATT: BILLING, DENISON, TX 75020-4589
(903) 416-6255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L8540
TX
207RG0100X
Gastroenterology Physician
Primary
L8540
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190407001
—
TX
05
—
200130180A
—
OK
Enumeration date
05/07/2007
Last updated
10/11/2018
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