Provider Demographics
NPI:1154602589
Name:TRAN, MAI KIM (MD)
Entity type:Individual
Prefix:
First Name:MAI
Middle Name:KIM
Last Name:TRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12600 SCARSDALE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6270
Mailing Address - Country:US
Mailing Address - Phone:281-481-6663
Mailing Address - Fax:281-481-6369
Practice Address - Street 1:12600 SCARSDALE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6270
Practice Address - Country:US
Practice Address - Phone:281-481-6663
Practice Address - Fax:281-481-6369
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2013-04-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN9320207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine