Provider Demographics
NPI:1306835988
Name:H. ANTHONY TRAN, M.D.,P.A.
Entity Type:Organization
Organization Name:H. ANTHONY TRAN, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:H.
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-831-4673
Mailing Address - Street 1:5510 COWHORN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-9101
Mailing Address - Country:US
Mailing Address - Phone:903-831-4673
Mailing Address - Fax:903-831-4672
Practice Address - Street 1:5510 COWHORN CREEK RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-9101
Practice Address - Country:US
Practice Address - Phone:903-831-4673
Practice Address - Fax:903-831-4672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-17
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR143999002Medicaid
TXJ5500OtherMEDICAL LICENSE
TXA001OtherTRICARE
TXJ5500OtherMEDICAL LICENSE
TXA001OtherTRICARE