Provider Demographics
NPI:1497828677
Name:TRAN, TUAN DUY
Entity Type:Individual
Prefix:DR
First Name:TUAN
Middle Name:DUY
Last Name:TRAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 WAUGH DR.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019
Mailing Address - Country:US
Mailing Address - Phone:713-526-2424
Mailing Address - Fax:713-526-2429
Practice Address - Street 1:1301 WAUGH DR
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-3907
Practice Address - Country:US
Practice Address - Phone:713-526-2424
Practice Address - Fax:713-526-2429
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX190471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice