Individual ProviderKim Thuy TranFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address600 S Main St Fl 3, Fort Worth, TX 76104-2410(817) 882-2590(214) 947-5400PECOS EnrollmentThis provider is enrolled in PECOS as KIM TRAN.Based on the most recent information from CMS, provider Kim Thuy Tran 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 3 days ago.Profile DetailsProvider ID1912318205Provider TypeIndividualFull NameTran, Kim ThuyCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date5/8/2014Last Updated4/16/2024Contact InformationPractice LocationPractice Address600 S Main St Fl 3, Fort Worth, TX 76104-2410Phone(817) 882-2590FaxUnlisted FaxMailing LocationMailing Address5323 Harry Hines Blvd, Dallas, TX 75390-7201Phone(214) 947-5400Fax(214) 947-5476Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseBP10049729TexasCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseQ7120Texas