Provider Demographics
NPI:1427435676
Name:TRAN, BAO QUOC (DC)
Entity type:Individual
Prefix:
First Name:BAO
Middle Name:QUOC
Last Name:TRAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4601 SOUTHWEST PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8939
Mailing Address - Country:US
Mailing Address - Phone:512-899-2228
Mailing Address - Fax:512-899-2226
Practice Address - Street 1:4601 SOUTHWEST PKWY STE 101
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8939
Practice Address - Country:US
Practice Address - Phone:512-899-2228
Practice Address - Fax:512-899-2226
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX12664111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor