Provider Demographics
NPI:1285775338
Name:TRAN, THUY L (OD)
Entity type:Individual
Prefix:DR
First Name:THUY
Middle Name:L
Last Name:TRAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11209 BELLAIRE BLVD
Mailing Address - Street 2:STE C9A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2536
Mailing Address - Country:US
Mailing Address - Phone:281-988-8722
Mailing Address - Fax:281-988-8025
Practice Address - Street 1:11209 BELLAIRE BLVD
Practice Address - Street 2:SUITE # C9A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2536
Practice Address - Country:US
Practice Address - Phone:281-988-8722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-10
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5953T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX143624801Medicaid
TX83514EMedicare ID - Type Unspecified
TX143624801Medicaid