Individual
TAN THI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 MARKS ST., HENDERSON, NV 89014
(702) 383-6210
(702) 435-7050
Mailing address
1800 W. CHARLESTON BLVD. STE. 508, LAS VEGAS, NV 89102
(702) 383-2688
(702) 671-6595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9109
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G87950
—
CA
Enumeration date
12/15/2006
Last updated
10/05/2018
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