Individual
THANH NHAN MICHAEL TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
4550 N MAJOR DR APT 722, BEAUMONT, TX 77713-8597
(318) 519-4442
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
63901
TX
Other
Enumeration date
02/04/2019
Last updated
09/19/2023
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