Provider Demographics
NPI:1649350901
Name:HO, TRAM (MD)
Entity type:Individual
Prefix:
First Name:TRAM
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12924 BELLAIRE BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5132
Mailing Address - Country:US
Mailing Address - Phone:713-457-5500
Mailing Address - Fax:713-457-4200
Practice Address - Street 1:12924 BELLAIRE BLVD
Practice Address - Street 2:STE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5132
Practice Address - Country:US
Practice Address - Phone:713-457-5500
Practice Address - Fax:713-457-4200
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2924207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX045058701Medicaid
G84102Medicare UPIN
TX86978KMedicare PIN