Organization Active NPI

Nguyen X Tran & Associates

  • Internal Medicine Physician
  • Garland, TX
National Provider Identifier
1467653469
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7902 Issued in TX
Legal business name
NGUYEN X TRAN & ASSOCIATES
Practice address
3602 W Walnut St
Garland, TX 75042-6236
Phone
(972) 487-7619
Fax
(972) 487-7682
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Dr. Nguyen Tran, D.ONPI 1487697546
Title
President
Phone
(972) 487-7619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X L7902 TX Primary

Addresses

Primary practice location

3602 W Walnut St
Garland, TX 75042-6236

Mailing address

3602 W Walnut St
Garland, TX 75042-6236
Phone (972) 487-7619

Other identifiers 2

IdentifierTypeStateIssuer
177412701MedicaidTX
0097NHOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026000134 TX Part B Supplier - Clinic/Group Practice 6507883964 Receives reassigned benefits from 1 practitioner
Practice locations: Garland, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1084526Nguyen X Tran & Associates PA3602 W Walnut, Garland, TX 75042Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory

Locations

3602 W Walnut St
Garland, TX 75042
Phone (972) 487-7619

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1467653469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 W WALNUT ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426236",
            "telephone_number": "972-487-7619",
            "fax_number": "972-487-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 W WALNUT ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426236",
            "telephone_number": "972-487-7619",
            "fax_number": "972-487-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN X TRAN & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "NGUYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-487-7619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177412701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0097NH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.