Elise Tran, D.O.
Physical Medicine & Rehabilitation in Southlake, TX. Individual provider (NPI-1).
NPI number1003201005
StatusActive
Last updated in NPPESMar 2, 2022
Details
- NPI
- 1003201005
- Entity type
- Individual (NPI-1)
- Name
- Elise Tran
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2015
- Certification date
- Mar 2, 2022
- Last updated
- Mar 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | S0237 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY |
Practice location
1545 E Southlake Blvd Ste 100Southlake, TX 76092-6465
Phone 817-442-9300 · Fax 817-416-0108
Mailing address
1545 E Southlake Blvd Ste 100Southlake, TX 76092-6465
Phone 817-442-9300 · Fax 817-416-0108
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All 10 Physical Medicine & Rehabilitation Physician providers in Southlake · All 2,154 providers in Southlake
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