Individual
HOA THI MAI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 E STATE HIGHWAY 76 STE A, BRANSON, MO 65616
(417) 334-5864
(417) 334-4978
Mailing address
875 E STATE HIGHWAY 76 STE A, BRANSON, MO 65616-7511
(417) 334-5864
(417) 334-4978
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2004022194
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004022194
PHYSICIAN ASST. LICENSE
MO
Enumeration date
10/17/2006
Last updated
07/09/2018
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