Individual
ELISE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1545 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6465
(817) 442-9300
(817) 416-0108
Mailing address
1545 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6465
(817) 442-9300
(817) 416-0108
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
S0237
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/06/2015
Last updated
03/02/2022
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