Provider Demographics
NPI:1053909341
Name:TRAN, TRONG NHUT (CPHT)
Entity type:Individual
Prefix:MR
First Name:TRONG
Middle Name:NHUT
Last Name:TRAN
Suffix:
Gender:M
Credentials:CPHT
Other - Prefix:MR
Other - First Name:TROY
Other - Middle Name:NHUT
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPHT
Mailing Address - Street 1:2129 ROSE CLIFF LN
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-2323
Mailing Address - Country:US
Mailing Address - Phone:972-213-8925
Mailing Address - Fax:
Practice Address - Street 1:2129 ROSE CLIFF LN
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-2323
Practice Address - Country:US
Practice Address - Phone:972-213-8925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician