Provider Demographics
NPI:1134303696
Name:TRAN, VAN-HIEN CONG (MD, FACS)
Entity Type:Individual
Prefix:
First Name:VAN-HIEN
Middle Name:CONG
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18400 KATY FWY STE 560
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1294
Mailing Address - Country:US
Mailing Address - Phone:832-522-3240
Mailing Address - Fax:
Practice Address - Street 1:18400 KATY FWY STE 560
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1294
Practice Address - Country:US
Practice Address - Phone:832-522-3240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5720208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160151001Medicaid
TX160151001Medicaid
TX00151VMedicare PIN