NPI 1003201005
Elise Tran, DO
Practice location
- Address
- 1545 E Southlake Blvd STE 100, Southlake, TX 76092-6465
- Phone
- (817) 442-9300
- Fax
- (817) 416-0108
Registered specialties (2)
Physical Medicine & Rehabilitation Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1003201005
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Apr 2015
- Record last updated
- 2 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.