Individual
PAUL TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD., PC
Contact information
Practice address
5702 MCPHERSON RD STE 21, LAREDO, TX 78041-6884
(916) 791-5967
(916) 791-5969
Mailing address
5702 MCPHERSON RD STE 21, LAREDO, TX 78041-6884
(916) 791-5967
(916) 791-5969
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
4722TG
TX
332H00000X
Eyewear Supplier
1171290001
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019176901
—
TX
Enumeration date
01/03/2007
Last updated
09/27/2024
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