Tran, Kevin
Tran, Kevin is an individual health care provider with primary practice located at 1900 Mistletoe Blvd Ste 200 , Ft Worth TX 76104-4049. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Tran, Kevin can be contacted via phone (817) 878-5333.Contact Information
Primary practice address
1900 Mistletoe Blvd Ste 200
Ft Worth TX 76104-4049
Phone: (817) 878-5333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA09974 | Texas |
Profile Details
| NPI number | 1205200094 |
|---|---|
| LBN Legal business name | Tran, Kevin |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2015 |
| Last updated | Dec 20th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205200094 | NPPES |
| Texas | MEDICAID | 1205200094 |
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