Organization
NORTHSIDE DOCTORS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUYEN MY TRAN M.D. (PRESIDENT)
(281) 719-0483
Entity
Organization
Contact information
Practice address
920 MEDICAL PLAZA DRIVE, SUITE 360, SHENANDOAH, TX 77380-3271
(281) 719-0483
(281) 719-0756
Mailing address
920 MEDICAL PLAZA DRIVE, SUITE 360, SHENANDOAH, TX 77380-3271
(281) 719-0483
(281) 719-0756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L7582
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
L7582
TX
Other
Enumeration date
11/22/2006
Last updated
01/14/2013
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