Provider Demographics
NPI:1538450572
Name:TRAN, TUONG VAN T (RDH)
Entity type:Individual
Prefix:
First Name:TUONG VAN
Middle Name:T
Last Name:TRAN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14657 SNEIDER ST BLDG 1377
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-5582
Mailing Address - Country:US
Mailing Address - Phone:281-929-2799
Mailing Address - Fax:281-929-2605
Practice Address - Street 1:14657 SNEIDER ST BLDG 1377
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-5582
Practice Address - Country:US
Practice Address - Phone:281-929-2799
Practice Address - Fax:281-929-2605
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11996124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150153OtherADHA