Provider Demographics
NPI:1568247211
Name:TRAN, ALLIS HOANG (FNP-C)
Entity Type:Individual
Prefix:
First Name:ALLIS
Middle Name:HOANG
Last Name:TRAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2417 HILLARY TRL
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5122
Mailing Address - Country:US
Mailing Address - Phone:469-544-9305
Mailing Address - Fax:
Practice Address - Street 1:2261 BROOKHOLLOW PLAZA DR STE 303
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-7431
Practice Address - Country:US
Practice Address - Phone:214-764-3004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1047923363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily