Provider Demographics
NPI:1366607871
Name:HONGLAN TRAN, DMD, PA
Entity type:Organization
Organization Name:HONGLAN TRAN, DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HONGLAN
Authorized Official - Middle Name:TU
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:713-473-7223
Mailing Address - Street 1:905 SOUTHMORE AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77502-1113
Mailing Address - Country:US
Mailing Address - Phone:713-473-7223
Mailing Address - Fax:713-473-7206
Practice Address - Street 1:905 SOUTHMORE AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-1113
Practice Address - Country:US
Practice Address - Phone:713-473-7223
Practice Address - Fax:713-473-7206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23975122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty