Provider Demographics
NPI:1801852892
Name:TRAN, ALAIN LUAN NGOC (OD)
Entity Type:Individual
Prefix:DR
First Name:ALAIN
Middle Name:LUAN NGOC
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:8880 HWY 6
Mailing Address - Street 2:STE 200
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-7122
Mailing Address - Country:US
Mailing Address - Phone:281-778-2020
Mailing Address - Fax:281-778-2021
Practice Address - Street 1:2100 REGIONAL MEDICAL DR
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-9719
Practice Address - Country:US
Practice Address - Phone:979-532-1700
Practice Address - Fax:979-532-6785
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06468LTG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178618801Medicaid
TXP01090551OtherRAILROAD MEDICARE PTAN
TX178618803Medicaid
TXOD6468TXOtherWORKERS COMPENSATION
TXP00609139OtherRAILROAD MEDICARE PART B
TX81440QOtherBC/BS TX#
TX83378QOtherBC/BS #
TXP00609139OtherRAILROAD MEDICARE PART B
TX81440QOtherBC/BS TX#
TXTXB150800Medicare PIN