Most Relevant Information
Provider Data
| NPI Number: | 1003390030 |
| Provider Name: | XUAN TRANG TRUONG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/14/2018 |
| Last Updated: | 09/14/2018 |
Provider Practice Location
3900 UNIVERSITY BLVD
TYLER
TX
757996600
Practice Location Phone/Fax
| Phone: | 9035655777 |
| Fax: |
Provider Mailing Location
18111 REDBUD TERRACE LN
CYPRESS
TX
774331552
Provider Mailing Phone/Fax
| Phone: | 8327018488 |
| Fax: |