Provider Demographics
NPI:1598027377
Name:TRAN, TUNG MINH B (MD)
Entity Type:Individual
Prefix:
First Name:TUNG MINH
Middle Name:B
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3330 NW 56TH ST STE 305
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4426
Mailing Address - Country:US
Mailing Address - Phone:405-606-7800
Mailing Address - Fax:405-606-7805
Practice Address - Street 1:3330 NW 56TH ST STE 305
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4426
Practice Address - Country:US
Practice Address - Phone:405-606-7800
Practice Address - Fax:405-606-7805
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2024-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK31274207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine