Provider Demographics
NPI:1194447714
Name:TRAN, BICH-TRAM NGOC
Entity type:Individual
Prefix:
First Name:BICH-TRAM
Middle Name:NGOC
Last Name:TRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1026 CRESTMONT PLACE LOOP
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-1451
Mailing Address - Country:US
Mailing Address - Phone:832-512-9803
Mailing Address - Fax:
Practice Address - Street 1:1026 CRESTMONT PLACE LOOP
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-1451
Practice Address - Country:US
Practice Address - Phone:832-512-9803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist