Provider Demographics
NPI:1750419552
Name:KAY, TRANG THIEN (NP)
Entity type:Individual
Prefix:MRS
First Name:TRANG
Middle Name:THIEN
Last Name:KAY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:TRANG
Other - Middle Name:THIEN
Other - Last Name:NGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:4544 S LAMAR BLVD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1500
Mailing Address - Country:US
Mailing Address - Phone:512-834-4141
Mailing Address - Fax:
Practice Address - Street 1:5855 COPLEY DR STE 250
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-7908
Practice Address - Country:US
Practice Address - Phone:800-377-2255
Practice Address - Fax:858-560-9300
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA556603363LF0000X
TX874503363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW3498Medicare ID - Type Unspecified
CAQ61728Medicare UPIN