Organization
KELLVAN J CHENG, DPM, PA
Active
Other names
Elite Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLVAN J CHENG DPM (FOOT & ANKLE SURGEON / PRESIDENT)
(214) 710-1028
Entity
Organization
Contact information
Practice address
4222 TRINITY MILLS ROAD, 112, DALLAS, TX 75287-7603
(214) 710-1028
(214) 710-1029
Mailing address
4222 TRINITY MILLS ROAD, 112, DALLAS, TX 75287-7603
(214) 710-1028
(214) 710-1029
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042SV
BLUE CROSS BLUE SHIELD
—
01
—
7127822
AETNA
—
Enumeration date
08/24/2009
Last updated
07/01/2010
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