Provider Demographics
NPI:1174025373
Name:TRAN, TERESA UYEN-TRANG (MS, SLP-INTERN)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:UYEN-TRANG
Last Name:TRAN
Suffix:
Gender:F
Credentials:MS, SLP-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 DREW ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-1225
Mailing Address - Country:US
Mailing Address - Phone:832-630-4577
Mailing Address - Fax:
Practice Address - Street 1:1706 DREW ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-1225
Practice Address - Country:US
Practice Address - Phone:832-630-4577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114040235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX$$$$$$$$$OtherTIN