Provider Demographics
NPI:1487692919
Name:TRAN, JANICE (RN, ANP-C, MS, OCN)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:RN, ANP-C, MS, OCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-437-9605
Practice Address - Street 1:925 GESSNER RD
Practice Address - Street 2:SUITE 550
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2545
Practice Address - Country:US
Practice Address - Phone:713-467-1722
Practice Address - Fax:713-467-1704
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX625963363L00000X
TXAP114511363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX182336105Medicaid
TX182336105Medicaid
TXTXB112590Medicare PIN
TX8J0761Medicare PIN