Tran Medical Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

23532 Issued in LA

Legal business name

TRAN MEDICAL CLINIC LLC

Practice address

365 W Hickory Ave
Bastrop, LA 71220-4441

Phone

(318) 283-5999

Fax

(318) 283-7998

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Andy V Tran, M.D.

Title

Owner

Phone

(318) 283-5999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992705198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W HICKORY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204441",
            "telephone_number": "318-283-5999",
            "fax_number": "318-283-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W HICKORY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204441",
            "telephone_number": "318-283-5999",
            "fax_number": "318-283-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAN MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-283-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "23532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1495794",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alvin Tolbert
• Denise Tolbert
• Tiffany Tolliver-Battle, FNP-C
• Total Divine Care LLC
• Total Wellness Urgent Psychiatric Care Clinic
• Andy V. Tran, M.D.
• Jaimie Alechia Treadway Harris, APRN
• Daniel A Trejo, M.D.
• Justice Trotter
• Ivory Tubbs

• Primary Care Clinic/Center in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Primary Care Clinic/Center in Louisiana

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