Provider Demographics
NPI:1801487343
Name:TRAN, BRYAN ANH (OD)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:ANH
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 1:12548 WESTHEIMER RD STE A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5808
Mailing Address - Country:US
Mailing Address - Phone:281-249-8380
Mailing Address - Fax:
Practice Address - Street 1:12548 WESTHEIMER RD STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5808
Practice Address - Country:US
Practice Address - Phone:281-249-8380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10034152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist