Provider Demographics
NPI:1932710852
Name:TRAN, THUY NGOC
Entity Type:Individual
Prefix:
First Name:THUY
Middle Name:NGOC
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 1:8814 SUNRISE TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4760
Mailing Address - Country:US
Mailing Address - Phone:832-449-9168
Mailing Address - Fax:
Practice Address - Street 1:8814 SUNRISE TERRACE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4760
Practice Address - Country:US
Practice Address - Phone:832-449-9168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician