Individual ProviderSummer TranStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address19389 N 59th Ave, Glendale, AZ 85308-6500(713) 972-5835PECOS EnrollmentBased on the most recent information from CMS, provider Summer Tran is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1578394755Provider TypeIndividualFull NameTran, SummerGenderFemaleSole ProprietorNoEnumeration Date8/9/2024Last Updated8/9/2024Contact InformationPractice LocationPractice Address19389 N 59th Ave, Glendale, AZ 85308-6500Phone(713) 972-5835FaxUnlisted FaxMailing LocationMailing Address19389 N 59th Ave, Glendale, AZ 85308-6500PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer