Individual ProviderTran NguyenFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address903 W Martin St, San Antonio, TX 78207-0903(210) 358-3400PECOS EnrollmentBased on the most recent information from CMS, provider Tran Nguyen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1700378148Provider TypeIndividualFull NameNguyen, TranGenderFemaleSole ProprietorNoEnumeration Date6/1/2018Last Updated11/8/2022Contact InformationPractice LocationPractice Address903 W Martin St, San Antonio, TX 78207-0903Phone(210) 358-3400FaxUnlisted FaxMailing LocationMailing Address2001 Oaklawn Dr, Conroe, TX 77304-2129PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseC1119KentuckyCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseT2231Texas