| Dr Peter Tran Do Lc | |
|
1776 W Horizon Ridge Pkwy Suite 120 Henderson NV 89012-5018 | |
| (702) 363-3288 | |
| (702) 363-3288 |
| Full Name | Dr Peter Tran Do Lc |
|---|---|
| Speciality | Family Medicine |
| Location | 1776 W Horizon Ridge Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Peter Anh Tran (OWNER-PHYSICIAN) |
| Authorized Official Contact | 7023633288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Tran Do Lc 1776 W Horizon Ridge Pkwy Suite 120 Henderson NV 89012-5018 Ph: (702) 363-3288 | Dr Peter Tran Do Lc 1776 W Horizon Ridge Pkwy Suite 120 Henderson NV 89012-5018 Ph: (702) 363-3288 |
| NPI Number | 1699809293 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 05/10/2013 |
| Medicare PECOS PAC ID | 0941305593 |
|---|---|
| Medicare Enrollment ID | O20070410000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699809293 | NPI | - | NPPES |
| 100506432 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 1188 (Nevada) | Primary |
| Provider Name | Peter A Tran |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1598762353 PECOS PAC ID: 8022087725 Enrollment ID: I20040929000766 |
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