Provider Demographics
NPI:1962704015
Name:TRAN, MINH (DC)
Entity type:Individual
Prefix:DR
First Name:MINH
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 KINGMAN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-4235
Mailing Address - Country:US
Mailing Address - Phone:504-889-7755
Mailing Address - Fax:504-889-7754
Practice Address - Street 1:3330 KINGMAN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4235
Practice Address - Country:US
Practice Address - Phone:504-889-7755
Practice Address - Fax:504-889-7754
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-23
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1574111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor