| Tran Physician Group | |
|
5715 114th St Lubbock TX 79424-8441 | |
| (806) 712-5715 | |
| (806) 722-1182 |
| Full Name | Tran Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 5715 114th St, Lubbock, Texas |
| Authorized Official Name and Position | Hoa Tran (MD) |
| Authorized Official Contact | 8067125715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tran Physician Group 5715 114th St Lubbock TX 79424-8441 Ph: (806) 712-5715 | Tran Physician Group 5715 114th St Lubbock TX 79424-8441 Ph: (806) 712-5715 |
| NPI Number | 1730745548 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 06/04/2020 |
| Medicare PECOS PAC ID | 6204163181 |
|---|---|
| Medicare Enrollment ID | O20190815000949 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730745548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Hoa H Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386841203 PECOS PAC ID: 2860553195 Enrollment ID: I20081205000107 |
| Provider Name | Marbella Z Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215129705 PECOS PAC ID: 3779639992 Enrollment ID: I20090914000149 |
| Provider Name | John Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063805737 PECOS PAC ID: 3870883838 Enrollment ID: I20191115001468 |
| Provider Name | Karyss D Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669125043 PECOS PAC ID: 3173999083 Enrollment ID: I20221018002268 |
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