Provider Demographics
NPI:1881989937
Name:TRAN, THUY BICH
Entity type:Individual
Prefix:MRS
First Name:THUY
Middle Name:BICH
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:120 W PARKER RD
Mailing Address - Street 2:T-0067
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-2331
Mailing Address - Country:US
Mailing Address - Phone:972-633-1365
Mailing Address - Fax:972-633-1365
Practice Address - Street 1:120 W PARKER RD
Practice Address - Street 2:T-0067
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-2331
Practice Address - Country:US
Practice Address - Phone:972-633-1365
Practice Address - Fax:972-633-1365
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42293183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist