Provider Demographics
NPI:1629177365
Name:TRAN, THAI-LAN (OD)
Entity Type:Individual
Prefix:DR
First Name:THAI-LAN
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5085 WESTHEIMER RD
Mailing Address - Street 2:SUITE 4800
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056
Mailing Address - Country:US
Mailing Address - Phone:713-629-1010
Mailing Address - Fax:713-629-0209
Practice Address - Street 1:5085 WESTHEIMER RD
Practice Address - Street 2:SUITE 4800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056
Practice Address - Country:US
Practice Address - Phone:713-629-1010
Practice Address - Fax:713-629-0209
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06052TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F24416Medicare PIN