Provider Demographics
NPI:1679937056
Name:TRAN, NAM (DPM)
Entity Type:Individual
Prefix:DR
First Name:NAM
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5220 W UNIVERSITY DR STE 290
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7429
Mailing Address - Country:US
Mailing Address - Phone:469-678-8322
Mailing Address - Fax:469-678-8118
Practice Address - Street 1:5220 W UNIVERSITY DR STE 290
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7429
Practice Address - Country:US
Practice Address - Phone:469-678-8322
Practice Address - Fax:469-678-8118
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX2395213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program