Travis Tuan Tran

NPI #1063013951 in Mansfield, Texas

Provider Information

NPI Number: 1063013951
Entity Type: Individual
Name: Travis Tuan Tran
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 5, 2020
Last Updated: Nov 5, 2020

Practice Location

Address: 1826 LAKE GLEN TRL
City: Mansfield
State: Texas
ZIP Code: 76063-4090
Phone: (682) 551-1754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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