Travis Thanh Tran | Stockton, CA • PECOS Search

Travis Thanh Tran

Counselor

Behavioral Health & Social Service Providers

1201 N Eldorado St, Stockton, CA 95202

PECOS Enrollment

Based on the most recent information from CMS, provider Travis Thanh Tran does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1396902987
Provider Type
Individual
Full Name
Tran, Travis Thanh
Credential
BS

Gender
Male
Sole Proprietor
No
Enumeration Date
5/21/2008
Last Updated
5/21/2008

Contact Information

Practice Location

1201 N Eldorado St, Stockton, CA 95202

Unlisted Fax

Mailing Location

1201 N Eldorado, Stockton, CA 95202

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer