Provider Demographics
NPI:1750558417
Name:TRAN, QUANG-MINH THE (OD)
Entity type:Individual
Prefix:DR
First Name:QUANG-MINH
Middle Name:THE
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 W SAM HOUSTON PKWY S
Mailing Address - Street 2:SUITE 248
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5045
Mailing Address - Country:US
Mailing Address - Phone:281-568-8787
Mailing Address - Fax:
Practice Address - Street 1:8300 W SAM HOUSTON PKWY S
Practice Address - Street 2:SUITE 248
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5045
Practice Address - Country:US
Practice Address - Phone:281-568-8787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7143TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7143TGOtherLICENSE NUMBER