Provider Demographics
NPI:1588984645
Name:TRAN, HOA (DDS)
Entity type:Individual
Prefix:DR
First Name:HOA
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1406 BRIAR CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-6518
Mailing Address - Country:US
Mailing Address - Phone:832-661-6801
Mailing Address - Fax:
Practice Address - Street 1:2810 BUSINESS CENTER DR
Practice Address - Street 2:#108
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-9781
Practice Address - Country:US
Practice Address - Phone:713-436-5655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX255051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice