Individual ProviderOanh TranInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2200 Bergquist Drive, Suite 1, Whmc/Ge, Lackland Afb, TX 78236-5300(210) 292-5336PECOS EnrollmentBased on the most recent information from CMS, provider Oanh 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 yesterday at 12:57 PM.Profile DetailsProvider ID1699903880Provider TypeIndividualFull NameTran, OanhTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date6/25/2009Last Updated6/13/2013Contact InformationPractice LocationPractice Address2200 Bergquist Drive, Suite 1, Whmc/Ge, Lackland Afb, TX 78236-5300Phone(210) 292-5336Fax(210) 292-7868Mailing LocationMailing Address2200 Bergquist Dr Ste 1, Internal Medicine Clinic, Lackland A F B, TX 78236-9908PhoneUnlisted PhoneFax(210) 292-7868Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101249263Virginia