Provider Demographics
NPI:1316112287
Name:TRAN, BRYAN HOA (PA-C)
Entity type:Individual
Prefix:
First Name:BRYAN
Middle Name:HOA
Last Name:TRAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3232 N WELLNESS DR BLDG B
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-8027
Mailing Address - Country:US
Mailing Address - Phone:616-494-4250
Mailing Address - Fax:
Practice Address - Street 1:3232 N WELLNESS DR BLDG B
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-8027
Practice Address - Country:US
Practice Address - Phone:616-494-4250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601005238363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant