Individual
THUY-VAN TRAN STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6431 FANNIN MSB 3.242, HOUSTON, TX 77030
(713) 500-5733
(713) 500-5794
Mailing address
6431 FANNIN MSB 3.242, HOUSTON, TX 77030
(713) 500-5733
(713) 500-5794
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
L5157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085387101
MEDICAID TX GROUP NUMBER
—
05
—
152278101
—
TX
01
—
8G6200
BCBS TX
—
Enumeration date
10/20/2006
Last updated
09/09/2022
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