Individual provider Active NPI

Tho Van Tran, MD

  • Psychiatry Physician
  • Port Arthur, TX
National Provider Identifier
1104104207
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P7220 Issued in TX
Practice address
2501 Jimmy Johnson Blvd
Suite 501
Port Arthur, TX 77640-2000
Phone
(713) 449-1668
NPI assigned
Jul 25, 2011
Last updated
Aug 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P7220 TX Primary

Addresses

Primary practice location

2501 Jimmy Johnson Blvd
Suite 501
Port Arthur, TX 77640-2000

Mailing address

2501 Jimmy Johnson Blvd
Suite 501
Port Arthur, TX 77640-2000
Phone (713) 449-1668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130912000176 TX Practitioner - PsychiatryPractitioner - Neuropsychiatry 7012151186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neuropsychiatry
Education
Texas a & M University System, HSC, College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spindletop MHMR ServicesGroup PAC ID 1658268321, 19 clinicians

Practice addresses (Care Compare)

1007 S William St
Atlanta, TX 75551-3245
Phone (903) 796-7155

2750 S 8TH St
Beaumont, TX 77701-7719
Phone (409) 839-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Spindletop MHMR Services CurrentSince Jun 12, 2020 Accepting new patients
Sabine Valley Regional MHMR Center Psychiatry Current Accepting new patients
Sabine Valley Regional MHMR Center CurrentSince Sep 1, 2024 Accepting new patients
Spindletop MHMR Services CurrentSince Jun 12, 2020 Accepting new patients

Locations

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

1007 S William St
Ste 5
Atlanta, TX 75551
Phone (903) 796-1278

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

107 Woodbine Pl
Longview, TX 75601
Phone (903) 234-4226

1300 N 6th St
Longview, TX 75601
Phone (903) 232-8928

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1104104207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "SUITE 501",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402000",
            "telephone_number": "713-449-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "SUITE 501",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402000",
            "telephone_number": "713-449-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "THO",
        "middle_name": "VAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P7220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.