Provider Demographics
NPI:1740349174
Name:TRAN, HUNG (DMD)
Entity type:Individual
Prefix:
First Name:HUNG
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:ANTHONY
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 90482
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77290-0482
Mailing Address - Country:US
Mailing Address - Phone:281-893-3144
Mailing Address - Fax:281-893-8996
Practice Address - Street 1:850 FM 1960 W.
Practice Address - Street 2:SUITE F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090
Practice Address - Country:US
Practice Address - Phone:281-893-3144
Practice Address - Fax:281-893-8996
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX220591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice