Provider Demographics
NPI:1932436847
Name:TRAN, JASON HUNG (DOCTOR)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:HUNG
Last Name:TRAN
Suffix:
Gender:M
Credentials:DOCTOR
Other - Prefix:
Other - First Name:HUNG
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:JASON TRAN
Mailing Address - Street 1:5223 SAGECIRCLE ST S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-7083
Mailing Address - Country:US
Mailing Address - Phone:832-331-9977
Mailing Address - Fax:
Practice Address - Street 1:1403 FM 1960 RD W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3303
Practice Address - Country:US
Practice Address - Phone:281-444-1201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46148183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist