Provider Demographics
NPI:1528068301
Name:TRAN, DENNIS D (MD)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:D
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2535 E ARKANSAS LN
Mailing Address - Street 2:321
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-8702
Mailing Address - Country:US
Mailing Address - Phone:817-277-9740
Mailing Address - Fax:817-277-3082
Practice Address - Street 1:2535 E ARKANSAS LN
Practice Address - Street 2:321
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-8702
Practice Address - Country:US
Practice Address - Phone:817-277-9740
Practice Address - Fax:817-277-3082
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2011-11-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ3412207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113806701Medicaid
TX113806701Medicaid
F95281Medicare UPIN