Provider Demographics
NPI:1962040949
Name:TRAN, NGOC-HAN THI (FNP-C)
Entity Type:Individual
Prefix:
First Name:NGOC-HAN
Middle Name:THI
Last Name:TRAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3295 S COOPER ST STE 119
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2359
Mailing Address - Country:US
Mailing Address - Phone:817-557-0099
Mailing Address - Fax:
Practice Address - Street 1:3295 S COOPER ST STE 119
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2359
Practice Address - Country:US
Practice Address - Phone:817-557-0099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-20
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143577207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology