Individual
DR. TRANG PHAM PROSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 656-0970
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8797
TX
Other
Enumeration date
05/05/2014
Last updated
07/15/2021
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