Provider Demographics
NPI:1902827140
Name:VU-TRAN, NGA THI (OD)
Entity Type:Individual
Prefix:
First Name:NGA
Middle Name:THI
Last Name:VU-TRAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:NGA
Other - Middle Name:THI
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:6851 MATLOCK ROAD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3519
Mailing Address - Country:US
Mailing Address - Phone:817-419-8871
Mailing Address - Fax:
Practice Address - Street 1:6851 MATLOCK ROAD
Practice Address - Street 2:SUITE 111
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-3519
Practice Address - Country:US
Practice Address - Phone:817-419-8871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5460T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1829509Medicaid
TXU82929Medicare UPIN
TX1829509Medicaid