Provider Demographics
NPI:1497886444
Name:TRAN, HILLARY HIEN THI (MD)
Entity Type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:HIEN THI
Last Name:TRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3295 S COOPER ST
Mailing Address - Street 2:SUITE 131
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2363
Mailing Address - Country:US
Mailing Address - Phone:817-557-0099
Mailing Address - Fax:817-417-7266
Practice Address - Street 1:3295 S COOPER ST
Practice Address - Street 2:SUITE 131
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2363
Practice Address - Country:US
Practice Address - Phone:817-557-0099
Practice Address - Fax:817-417-7266
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4600207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175348502Medicaid
TX175348503Medicaid
TX8A7526OtherBCBS
TX175348501Medicaid
TX8A7526OtherBCBS
I39341Medicare UPIN
TX175348503Medicaid
TX175348502Medicaid