Provider Demographics
NPI:1386841203
Name:TRAN, HOA HUU (MD)
Entity Type:Individual
Prefix:
First Name:HOA
Middle Name:HUU
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5715 114TH STREET
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-1314
Mailing Address - Country:US
Mailing Address - Phone:806-712-5715
Mailing Address - Fax:806-712-1182
Practice Address - Street 1:5715 114TH ST
Practice Address - Street 2:
Practice Address - City:LUBOBCK
Practice Address - State:TX
Practice Address - Zip Code:79424
Practice Address - Country:US
Practice Address - Phone:806-712-5715
Practice Address - Fax:806-722-1182
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7702207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM64457541Medicaid
TXP00695624OtherRAILROAD MEDICARE
TX198549101Medicaid
TX8L3993Medicare PIN