Provider Demographics
NPI:1134434673
Name:TRAN, PUI V (OD)
Entity type:Individual
Prefix:
First Name:PUI
Middle Name:V
Last Name:TRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1138 BELT LINE RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-1993
Mailing Address - Country:US
Mailing Address - Phone:972-268-7938
Mailing Address - Fax:972-829-6698
Practice Address - Street 1:1138 BELT LINE RD
Practice Address - Street 2:SUITE 230
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-1993
Practice Address - Country:US
Practice Address - Phone:972-268-7938
Practice Address - Fax:972-829-6698
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7646T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist