Provider Demographics
NPI:1932252723
Name:DENNIS DINH TRAN M.D. P.A.
Entity type:Organization
Organization Name:DENNIS DINH TRAN M.D. P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-277-9740
Mailing Address - Street 1:2535 E ARKANSAS LN
Mailing Address - Street 2:321
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-8797
Mailing Address - Country:US
Mailing Address - Phone:817-277-9740
Mailing Address - Fax:817-277-3082
Practice Address - Street 1:2535 E ARKANSAS LN
Practice Address - Street 2:321
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-8797
Practice Address - Country:US
Practice Address - Phone:817-277-9740
Practice Address - Fax:817-277-3082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3412261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113806701Medicaid
TX113806701Medicaid
TXF95281Medicare UPIN