Provider Demographics
NPI:1497819403
Name:TRANG, DAVID D (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:D
Last Name:TRANG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18743 DOUBLE FORK DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TN
Mailing Address - Zip Code:78258
Mailing Address - Country:US
Mailing Address - Phone:210-408-7209
Mailing Address - Fax:
Practice Address - Street 1:1515 N FM 1604 EAST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258
Practice Address - Country:US
Practice Address - Phone:210-805-3095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44052183500000X
PARP044981L183500000X
VA0202205517183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist