| Thomas M Tran Md Llc | |
|
2620 E Central Ave Wichita KS 67214-4609 | |
| (316) 686-5555 | |
| (316) 686-3440 |
| Full Name | Thomas M Tran Md Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2620 E Central Ave, Wichita, Kansas |
| Authorized Official Name and Position | Anh Thu Vo (MANAGER) |
| Authorized Official Contact | 3166865555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M Tran Md Llc 2620 E Central Ave Wichita KS 67214-4609 Ph: (316) 686-5555 | Thomas M Tran Md Llc 2620 E Central Ave Wichita KS 67214-4609 Ph: (316) 686-5555 |
| NPI Number | 1902212400 |
|---|---|
| Provider Enumeration Date | 07/03/2014 |
| Last Update Date | 07/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902212400 | NPI | - | NPPES |
| 1811959190 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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