Provider Demographics
NPI:1962486084
Name:TRAN, THUY FRANK (DC)
Entity type:Individual
Prefix:DR
First Name:THUY
Middle Name:FRANK
Last Name:TRAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:1816 TULLY RD
Mailing Address - Street 2:STE 235
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-1800
Mailing Address - Country:US
Mailing Address - Phone:408-274-0649
Mailing Address - Fax:408-274-4878
Practice Address - Street 1:1816 TULLY RD
Practice Address - Street 2:STE 235
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-1800
Practice Address - Country:US
Practice Address - Phone:408-274-0649
Practice Address - Fax:408-274-4878
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CADC29261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0292610Medicaid
CADC0292610Medicare ID - Type Unspecified
CADC0292610Medicaid