Provider Demographics
NPI:1780936971
Name:HA, TRUNG VAN (MD)
Entity type:Individual
Prefix:DR
First Name:TRUNG
Middle Name:VAN
Last Name:HA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4441 W AIRPORT FWY STE 215
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-5959
Mailing Address - Country:US
Mailing Address - Phone:469-913-6136
Mailing Address - Fax:877-559-7679
Practice Address - Street 1:4441 W AIRPORT FWY STE 215
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-5959
Practice Address - Country:US
Practice Address - Phone:469-913-6136
Practice Address - Fax:877-559-7679
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ3883208VP0014X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine