Individual
ELISA TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-0111
Mailing address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-0111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10060886
TX
Other
Enumeration date
05/23/2017
Last updated
04/16/2024
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