KEVIN TRAN (NPI# 1205200094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205200094 |
| Entity Type | Individual |
| Full Name | KEVIN TRAN |
| Credential | PA-C |
| Practice Address |
1900 Mistletoe Blvd Ste 200 Ft Worth TX 76104-4049 |
| Practice Telephone | 8178785333 |
| Mailing Telephone | 8178785333 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2019-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA09974 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1205200094 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6701 Fannin St, Houston, TX 770302608 | 8328241000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770067571 | Kevin Tran | Dentist | 11035 Long Beach Blvd Ste 5, Lynwood, CA 90262-2570 | 2018-09-18 |
| 1194219188 | Kevin Tran | Physician Assistant | 4310 Bridgeport Way W Ste A, University Place, WA 98466-4337 | 2018-06-21 |
| 1740643964 | Kevin Quang Tran | Pharmacist | 10810 Warner Ave Ste 3, Fountain Valley, CA 92708-3848 | 2016-04-04 |
| 1346638491 | Kevin Tran | Obstetrics & Gynecology | 1707 W Charleston Blvd Ste 220, Las Vegas, NV 89102-2353 | 2014-12-23 |
| 1093831893 | Kevin Thanh Tran | Dentist | 8188 Sierra Ave, Suite H, Fontana, CA 92335-3575 | 2007-03-22 |
| 1326191602 | Kevin Tran | Optometrist | 7509 Carson Blvd, Long Beach, CA 90808-2365 | 2007-01-19 |
| 1710030911 | Kevin H Tran | Optometrist | 8471 Beverly Blvd, Ste 105 Beverly Plaza, Los Angeles, CA 90048-3450 | 2007-01-19 |
| 1770680159 | Kevin Son Tran | Optometrist | 9131 Bolsa Ave, Suite 202, Westminster, CA 92683-1301 | 2006-09-20 |
| 1194322792 | Kevin Tran | Dentist | 5513 Sycamore School Rd, Fort Worth, TX 76123 | 2020-10-06 |
| 1336701002 | Kevin Tran | Pharmacist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2019-07-02 |
| Street Address |
1900 MISTLETOE BLVD STE 200 |
| City | FT WORTH |
| State | TX |
| Zip Code | 76104-4049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700337813 | Dong-quan Truong | Physician Assistant | 7520 N Beach St # 108, Ft Worth, TX 76137-1680 | 2016-10-24 |
| 1457758336 | Lisa Weber Zimmerer | Physician Assistant | 7367 N Beach St, Ft Worth, TX 76137-1883 | 2014-11-20 |
| 1992059158 | Abiola A Adams | Physician Assistant | 5108 Pecos River Trl, Apt.2115, Ft Worth, TX 76132-1296 | 2012-11-08 |
| 1669620696 | Cathy Renee Golladay | Physician Assistant | 700 Westport Pkwy, Ft Worth, TX 76177-4513 | 2008-09-03 |
| 1154410041 | Daniel James Bequillard | Physician Assistant | 2500 Yeager St, Ft Worth, TX 76112-5052 | 2006-10-11 |
| 1962069443 | Lauren Elizabeth Daub | Physician Assistant | 7801 Oakmont Blvd Ste 101, Ft Worth, TX 76132-4242 | 2019-05-21 |
| 1821540816 | Tx Health Services, Pllc | Physician Assistant | 5900 S Hulen St, Ft Worth, TX 76132-4816 | 2016-10-26 |
| 1790109759 | Tara Milligan | Physician Assistant | 908 W Terrell Ave N, Ft Worth, TX 76104-3034 | 2014-02-11 |
| 1235551128 | Lindsay Pate | Physician Assistant | 800 12th Ave, Suite 300, Ft Worth, TX 76104-2518 | 2014-01-10 |
| 1679902134 | Jennifer Crumm | Physician Assistant | 7801 Oakmont Blvd, Ste 101, Ft Worth, TX 76132-4204 | 2013-11-05 |
| Find all providers in FT WORTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.