Provider Demographics
NPI:1841816311
Name:TRAN, MARIANNE MAI-HUONG
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:MAI-HUONG
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 CRESTVIEW TRL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1518
Mailing Address - Country:US
Mailing Address - Phone:832-475-6575
Mailing Address - Fax:
Practice Address - Street 1:5135 W ALABAMA ST STE 5410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5814
Practice Address - Country:US
Practice Address - Phone:713-963-0021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9950T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist