Provider Demographics
NPI:1134174881
Name:TRAN, XUAN KIM (MD)
Entity type:Individual
Prefix:
First Name:XUAN
Middle Name:KIM
Last Name:TRAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3000 JOE DIMAGGIO BLVD
Mailing Address - Street 2:SUITE 65
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-3990
Mailing Address - Country:US
Mailing Address - Phone:512-733-6464
Mailing Address - Fax:512-733-6465
Practice Address - Street 1:3000 JOE DIMAGGIO BLVD
Practice Address - Street 2:SUITE 65
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3990
Practice Address - Country:US
Practice Address - Phone:512-733-6464
Practice Address - Fax:512-733-6465
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2008-05-23
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Provider Licenses
StateLicense IDTaxonomies
TXL8982207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AH810OtherBCBS OF TEXAS INDIVIDUAL #
I20927Medicare UPIN
TX8F7153Medicare PIN