Provider Demographics
NPI:1598254237
Name:TRAN, MANH ANDREW-ANGUSTIA (DC)
Entity Type:Individual
Prefix:
First Name:MANH
Middle Name:ANDREW-ANGUSTIA
Last Name:TRAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2817 GENEVA DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-4253
Mailing Address - Country:US
Mailing Address - Phone:214-236-7199
Mailing Address - Fax:
Practice Address - Street 1:2840 LEGACY DR STE 410
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6057
Practice Address - Country:US
Practice Address - Phone:972-668-9200
Practice Address - Fax:972-668-9204
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13745111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX13745OtherTEXAS BOARD OF CHIROPRACTIC