Individual
DR. LARRY TRAN
Active
Individual
DR. LARRY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
P0312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629259510
BLUE CROSS BLUE SHIELD
TX
05
—
305568301
—
TX
05
—
305568302
—
TX
01
—
8DF382
BLUE CROSS BLUE SHIELD
TX
01
—
P01142222
RR MEDICARE
TX
01
—
P01392341
RR MEDICARE
TX
Enumeration date
11/19/2007
Last updated
06/24/2024
Update your record
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