Thomas T. Tran MD PA Ennis Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J6043 Issued in TX

Legal business name

THOMAS T. TRAN MD PA ENNIS FAMILY MEDICINE

Practice address

2203 W Ennis Ave
Suite 300
Ennis, TX 75119-8050

Phone

(972) 875-2858

Fax

(972) 875-2928

NPI assigned

Jul 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Tung Tran, M.D.NPI 1104843705

Title

Physician/Owner

Phone

(972) 875-2858

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Thomas Tran, M.D.

  • Family Medicine Physician
  • Ennis, TX
  • NPI 1104843705
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1629324991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 W ENNIS AVE",
            "address_2": "SUITE 300",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751198050",
            "telephone_number": "972-875-2858",
            "fax_number": "972-875-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W ENNIS AVE",
            "address_2": "SUITE 300",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751198050",
            "telephone_number": "972-875-2858",
            "fax_number": "972-875-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS T. TRAN MD PA ENNIS FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "TUNG",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "972-875-2858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Ennis, TX
• Providers in Ennis, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.