MTL MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N9320 Issued in TX

Legal business name

MTL MD PLLC

Practice address

12600 Scarsdale Blvd Ste a
Houston, TX 77089-6271

Phone

(281) 481-6663

NPI assigned

Mar 25, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mai Kim Tran, MDNPI 1154602589

Title

Physician

Phone

(832) 868-8922

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mai Kim Tran, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1154602589
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1003233388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SCARLATTI DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815347",
            "telephone_number": "832-868-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 SCARSDALE BLVD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896271",
            "telephone_number": "281-481-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-868-8922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.