Provider Demographics
NPI:1124259072
Name:TRAN, DAT QUOC (MD)
Entity type:Individual
Prefix:
First Name:DAT
Middle Name:QUOC
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5001 BISSONNET ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4023
Mailing Address - Country:US
Mailing Address - Phone:281-701-5457
Mailing Address - Fax:281-605-6815
Practice Address - Street 1:5001 BISSONNET ST STE 200
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4023
Practice Address - Country:US
Practice Address - Phone:281-701-5457
Practice Address - Fax:281-605-6815
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN4167207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CD520OtherBCBSTX
TX206121001Medicaid
TX206121001Medicaid