| Tran Vu, P.a. | |
|
3465 W Walnut St Ste 225 Garland TX 75042-7140 | |
| (972) 272-7816 | |
| (972) 276-8137 |
| Full Name | Tran Vu, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 3465 W Walnut St Ste 225, Garland, Texas |
| Authorized Official Name and Position | Van Thi Tran (OFFICE MANAGER) |
| Authorized Official Contact | 9722727816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tran Vu, P.a. 6 Robledo Dr Dallas TX 75230-3059 Ph: () - | Tran Vu, P.a. 3465 W Walnut St Ste 225 Garland TX 75042-7140 Ph: (972) 272-7816 |
| NPI Number | 1093829756 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 06/23/2010 |
| Medicare PECOS PAC ID | 1951432681 |
|---|---|
| Medicare Enrollment ID | O20100624000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093829756 | NPI | - | NPPES |
| 121709302 | Medicaid | TX | |
| 121709301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F3654 AND F3644 (Texas) | Primary |
| Provider Name | Thong T Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336252279 PECOS PAC ID: 2567593296 Enrollment ID: I20100624000606 |
| Provider Name | Van Thi Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912010836 PECOS PAC ID: 9830220565 Enrollment ID: I20131015001632 |
| Provider Name | Laura T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881955193 PECOS PAC ID: 1850616970 Enrollment ID: I20150924002968 |
| Provider Name | Christina Casey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770927634 PECOS PAC ID: 1850521766 Enrollment ID: I20151118002435 |
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