| David D. Tran, Llc | |
|
121 Lakeview Cir Ste A Covington LA 70433-7513 | |
| (985) 893-1070 | |
| (985) 893-1083 |
| Full Name | David D. Tran, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 121 Lakeview Cir Ste A, Covington, Louisiana |
| Authorized Official Name and Position | Kahihee Jackson (ASSIST MANAGER) |
| Authorized Official Contact | 9858931070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David D. Tran, Llc 121 Lakeview Cir Ste A Covington LA 70433-7513 Ph: (985) 893-1070 | David D. Tran, Llc 121 Lakeview Cir Ste A Covington LA 70433-7513 Ph: (985) 893-1070 |
| NPI Number | 1265752026 |
|---|---|
| Provider Enumeration Date | 06/03/2010 |
| Last Update Date | 06/03/2010 |
| Medicare PECOS PAC ID | 9537298484 |
|---|---|
| Medicare Enrollment ID | O20101006000924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265752026 | NPI | - | NPPES |
| 1482200 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 022131 (Louisiana) | Primary |
| Provider Name | David Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366419590 PECOS PAC ID: 4688703531 Enrollment ID: I20101006000566 |
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