Organization Active NPI

Kim Tran, MD PA

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1497970438
Registry record updated Nov 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KIM TRAN, MD PA
Practice address
11651 Jollyville Rd Ste 150
Austin, TX 78759-4106
Phone
(512) 258-6144
Fax
(512) 258-6234
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2007

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

Authorized official

Name
Dr. Kim Thu Tran, M.D.
Title
President
Phone
(512) 258-6144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

11651 Jollyville Rd Ste 150
Austin, TX 78759-4106

Mailing address

11651 Jollyville Rd Ste 150
Austin, TX 78759-4106
Phone (512) 258-6144

National Provider Directory

National Provider Directory

Locations

11651 Jollyville Rd
Ste 150
Austin, TX 78759
Phone (512) 258-6144

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194134400000",
    "number": "1497970438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11651 JOLLYVILLE RD STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594106",
            "telephone_number": "512-258-6144",
            "fax_number": "512-258-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11651 JOLLYVILLE RD STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594106",
            "telephone_number": "512-258-6144",
            "fax_number": "512-258-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM TRAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-11-04",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "THU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-258-6144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.