Provider Demographics
NPI:1497921407
Name:TRAN, CHRISTIAN QUANG (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:QUANG
Last Name:TRAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10150 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-3219
Mailing Address - Country:US
Mailing Address - Phone:832-398-6467
Mailing Address - Fax:
Practice Address - Street 1:10150 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-3219
Practice Address - Country:US
Practice Address - Phone:832-398-6467
Practice Address - Fax:855-284-4131
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9062207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX196687101Medicaid
TX8AA333OtherBCBSTX
TX196687102OtherCSHCN
TX196687101Medicaid