# KELLVAN J CHENG, DPM, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Foot & Ankle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134352289
- **Authorized official:** DR. KELLVAN J CHENG DPM (FOOT & ANKLE SURGEON / PRESIDENT)
- **Authorized official phone:** (214) 710-1028

## Contact information

- **Practice address:** 4222 TRINITY MILLS ROAD, 112, DALLAS, TX 75287-7603
- **Practice address phone:** (214) 710-1028
- **Practice address fax:** (214) 710-1029
- **Mailing address:** 4222 TRINITY MILLS ROAD, 112, DALLAS, TX 75287-7603
- **Mailing address phone:** (214) 710-1028
- **Mailing address fax:** (214) 710-1029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1763 | TX | Yes |

## Other

- **Enumeration date:** 08/24/2009
- **Last updated:** 07/01/2010