Individual
TAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1225 E BELT LINE RD, RICHARDSON, TX 75081-3708
(469) 569-4949
Mailing address
6509 STAMPS ST, ROWLETT, TX 75089-8267
(469) 569-4949
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP139284
TX
363LF0000X
Family Nurse Practitioner
AP139284
TX
Other
Enumeration date
10/16/2018
Last updated
01/30/2023
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