Provider Demographics
NPI:1578714697
Name:TRAN, BAU P (MS, PA-C, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BAU
Middle Name:P
Last Name:TRAN
Suffix:
Gender:M
Credentials:MS, PA-C, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2875 MERRELL RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-4702
Mailing Address - Country:US
Mailing Address - Phone:214-358-8700
Mailing Address - Fax:
Practice Address - Street 1:2875 MERRELL RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-4702
Practice Address - Country:US
Practice Address - Phone:214-358-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2608363A00000X
CO2848363A00000X
TXPA10826363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant