Provider Demographics
NPI:1831770544
Name:TRAN PLASTIC SURGERY LLC
Entity type:Organization
Organization Name:TRAN PLASTIC SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BAOTRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-670-1297
Mailing Address - Street 1:10167 W SUNRISE BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-7619
Mailing Address - Country:US
Mailing Address - Phone:954-499-4954
Mailing Address - Fax:239-320-9873
Practice Address - Street 1:10167 W SUNRISE BLVD STE 104
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-7619
Practice Address - Country:US
Practice Address - Phone:954-499-4954
Practice Address - Fax:239-320-9873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty