Provider Demographics
NPI:1619199379
Name:TRAN, VU TUAN (DDS)
Entity Type:Individual
Prefix:
First Name:VU
Middle Name:TUAN
Last Name:TRAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17307 ROTHKO LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6227
Mailing Address - Country:US
Mailing Address - Phone:281-651-9100
Mailing Address - Fax:281-651-9100
Practice Address - Street 1:18608 KUYKENDAHL RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3452
Practice Address - Country:US
Practice Address - Phone:281-651-9100
Practice Address - Fax:281-651-9100
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX194341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice