| Paul Tran, | |
|
516 E Nizhoni Blvd, Gallup, NM 87301-5748 | |
| (505) 722-1000 | |
| Not Available |
| Full Name | Paul Tran |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 516 E Nizhoni Blvd, Gallup, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821544701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16032 (Maryland) | Secondary |
| 122300000X | Dentist | DEN1001642 (District Of Columbia) | Secondary |
| 122300000X | Dentist | 0401415331 (Virginia) | Primary |
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Tran, 516 E. Nizhoni Blvd, Gallup, NM 87301 Ph: () - | Paul Tran, 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000 |
Dr. Yonathan Kohanbash, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 802 Us Highway 491 Ste 802, Gallup, NM 87301 Phone: 505-862-5018 | |
Timothy L. Ambrose, DDS Dentist Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1565 | |
Jovito G Sabal, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1565 | |
Dr. Gary Bruce Woodcock, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1560 Fax: 505-722-1563 | |
Dr. Erin Maille Montano, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 802 Us Highway 491, Gallup, NM 87301 Phone: 505-862-5018 | |
Dr. Dain Charles Hubley, DMD Dentist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Bo Tran, DDS Dentist Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 |