Provider Demographics
NPI:1558958926
Name:TRAN, NGUYEN THANH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NGUYEN
Middle Name:THANH
Last Name:TRAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9292 WESTHEIMER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3504
Mailing Address - Country:US
Mailing Address - Phone:713-782-2421
Mailing Address - Fax:713-782-1563
Practice Address - Street 1:9292 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3504
Practice Address - Country:US
Practice Address - Phone:713-782-2421
Practice Address - Fax:713-782-1563
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54004183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist