Organization Active NPI

H. Anthony Tran, M.D.,P.a.

  • Radiation Oncology Physician
  • Texarkana, TX
National Provider Identifier
1306835988
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
H. ANTHONY TRAN, M.D.,P.A.
Practice address
5510 Cowhorn Creek Rd
Texarkana, TX 75503-9101
Phone
(903) 831-4673
Fax
(903) 831-4672
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
H. Anthony Tran, M.D.
Title
M.D.
Phone
(903) 831-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

5510 Cowhorn Creek Rd
Texarkana, TX 75503-9101

Mailing address

5510 Cowhorn Creek Rd
Texarkana, TX 75503-9101
Phone (903) 831-4673

Other identifiers 3

IdentifierTypeStateIssuer
143999002MedicaidAR
J5500OtherTXMEDICAL LICENSE
A001OtherTXTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101022000355 TX Part B Supplier - Clinic/Group Practice 7719170794 Receives reassigned benefits from 1 practitioner
Practice locations: Texarkana, TX

National Provider Directory

National Provider Directory

Locations

5510 Cowhorn Creek Rd
Texarkana, TX 75503
Phone (903) 831-4673

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1306835988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039101",
            "telephone_number": "903-831-4673",
            "fax_number": "903-831-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039101",
            "telephone_number": "903-831-4673",
            "fax_number": "903-831-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. ANTHONY TRAN, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "H.",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "903-831-4673",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143999002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "J5500",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.