| Thomas T. Tran Md Pa Ennis Family Medicine | |
|
2203 W Ennis Ave Suite 300 Ennis TX 75119-8050 | |
| (972) 875-2858 | |
| (972) 875-2928 |
| Full Name | Thomas T. Tran Md Pa Ennis Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2203 W Ennis Ave, Ennis, Texas |
| Authorized Official Name and Position | Thomas Tung Tran (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9728752858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas T. Tran Md Pa Ennis Family Medicine 2203 W Ennis Ave Suite 300 Ennis TX 75119-8050 Ph: (972) 875-2858 | Thomas T. Tran Md Pa Ennis Family Medicine 2203 W Ennis Ave Suite 300 Ennis TX 75119-8050 Ph: (972) 875-2858 |
| NPI Number | 1629324991 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 07/27/2012 |
| Medicare PECOS PAC ID | 4789830951 |
|---|---|
| Medicare Enrollment ID | O20120804000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629324991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J6043 (Texas) | Primary |
| Provider Name | Thomas T Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104843705 PECOS PAC ID: 2668440496 Enrollment ID: I20040920001102 |
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