Provider Demographics
NPI:1922447176
Name:TRAN, SI H (CPED)
Entity Type:Individual
Prefix:MR
First Name:SI
Middle Name:H
Last Name:TRAN
Suffix:
Gender:M
Credentials:CPED
Other - Prefix:
Other - First Name:SY
Other - Middle Name:V
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPED
Mailing Address - Street 1:9900 WESTPARK DR STE 311
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5292
Mailing Address - Country:US
Mailing Address - Phone:832-849-1877
Mailing Address - Fax:832-849-1884
Practice Address - Street 1:9900 WESTPARK DR STE 311
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5292
Practice Address - Country:US
Practice Address - Phone:832-849-1877
Practice Address - Fax:832-849-1884
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2022-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
224L00000X
3544224L00000X
TX3544224L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCPED3544OtherAMERICAN BOARD FOR CERTIFICATION