Provider Demographics
NPI:1013786771
Name:TRAN, VINCENT THIEN TUAN (PHARMD)
Entity type:Individual
Prefix:
First Name:VINCENT
Middle Name:THIEN TUAN
Last Name:TRAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5403 ESTATE LN
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3020
Mailing Address - Country:US
Mailing Address - Phone:469-274-4819
Mailing Address - Fax:
Practice Address - Street 1:901 LEGACY DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-8202
Practice Address - Country:US
Practice Address - Phone:972-517-9744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73513183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist