Provider Demographics
NPI:1871645556
Name:TRAN, QUOC-HUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:QUOC-HUNG
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17736 PRESTON RD.
Mailing Address - Street 2:SUITE #101
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252
Mailing Address - Country:US
Mailing Address - Phone:972-755-3262
Mailing Address - Fax:972-248-2012
Practice Address - Street 1:17736 PRESTON RD
Practice Address - Street 2:SUITE #101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252
Practice Address - Country:US
Practice Address - Phone:972-248-2299
Practice Address - Fax:972-248-2012
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ72912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103424103Medicaid
TX103424103Medicaid