Individual
HAI ANTHONY TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5510 COWHORN CREEK RD, TEXARKANA, TX 75503-9101
(903) 831-4673
(903) 831-4672
Mailing address
5510 COWHORN CREEK RD, TEXARKANA, TX 75503-9101
(903) 831-4673
(903) 831-4672
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
J5500
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034993801
—
TX
05
—
100222760A
—
OK
05
—
125767001
—
AR
01
—
90303900040
QUAL CHOICE OF ARKANSAS
AR
01
—
96943
BCBS
AR
Enumeration date
10/18/2005
Last updated
07/22/2020
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