Organization
TRAN MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY V TRAN M.D. (OWNER)
(318) 283-5999
Entity
Organization
Contact information
Practice address
365 W HICKORY AVE, BASTROP, LA 71220-4441
(318) 283-5999
(318) 283-7998
Mailing address
365 W HICKORY AVE, BASTROP, LA 71220-4441
(318) 283-5999
(318) 283-7998
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
23532
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1495794
—
LA
Enumeration date
07/28/2005
Last updated
08/22/2020
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