Phuong Tran, is a 
Dentist based in Ft. Polk, Louisiana. Phuong Tran is licensed to practice in Oklahoma (license number 7073) and her current practice location is 
7223 Mississippi Ave Bldg 1561, Ft. Polk, Louisiana. She can be reached at her office (for appointments etc.) via phone at 
(337) 531-2327.
NPI number for Phuong Tran is 1194203166 and her current mailing address is 6712 Nw 112th St, Oklahoma City, Oklahoma. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194203166.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Phuong Tran | 
|---|
| Gender | Female | 
|---|
| Speciality | Dentist | 
|---|
| Location | 7223 Mississippi Ave Bldg 1561, Ft. Polk, Louisiana | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1194203166
- Provider Enumeration Date: 08/01/2018
- Last Update Date: 04/04/2023
 
		 
		 
Medical Identifiers
		Medical identifiers for Phuong Tran such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1194203166 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 1223G0001X | Dentist - General Practice | 7073 (Oklahoma) | Secondary | 
| 122300000X | Dentist | 7073 (Oklahoma) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phuong Tran is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Phuong Tran, 6712 Nw 112th St,
 Oklahoma City, OK 73162-2978
 Ph: (405) 887-3267
 | Phuong Tran, 7223 Mississippi Ave Bldg 1561,
 Ft. Polk, LA 71459-5110
 Ph: (337) 531-2327
 | 
		
		 
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