Individual
HIEN THAI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4333 PAN AMERICAN FWY NE STE B, ALBUQUERQUE, NM 87107-6833
(505) 266-3835
(505) 266-3340
Mailing address
4333 PAN AMERICAN FWY NE STE B, ALBUQUERQUE, NM 87107-6833
(505) 266-3835
(505) 266-3340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2009-0701
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00051474
—
NM
05
—
07922
—
LA
Enumeration date
05/24/2007
Last updated
07/20/2020
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