Provider Demographics
NPI:1245736180
Name:TRAN, ALAN BACH (DO)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:BACH
Last Name:TRAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:3001 QUAIL SPRINGS PKWY FL 5
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2640
Mailing Address - Country:US
Mailing Address - Phone:405-644-5256
Mailing Address - Fax:405-636-7946
Practice Address - Street 1:4219 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3410
Practice Address - Country:US
Practice Address - Phone:405-644-5256
Practice Address - Fax:405-636-7946
Is Sole Proprietor?:No
Enumeration Date:2018-03-31
Last Update Date:2023-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK7611208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation