Whalio Doctors

NPI 1003201005

Elise Tran, DO

Practitioner Physical Medicine & Rehabilitation Physician Southlake, TX

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
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence S0237 (TX)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

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.