Provider Demographics
NPI:1780036939
Name:TRAN, TUNG (OD)
Entity Type:Individual
Prefix:
First Name:TUNG
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4946 BEECHNUT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1605
Mailing Address - Country:US
Mailing Address - Phone:346-646-7259
Mailing Address - Fax:346-646-7274
Practice Address - Street 1:4946 BEECHNUT ST STE A-1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1605
Practice Address - Country:US
Practice Address - Phone:346-646-7259
Practice Address - Fax:346-646-7274
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-11
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9034T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist