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Individual

DR. MICHAEL Q TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2100 FM 2590 STE 200, CANYON, TX 79015-1982
(806) 656-5006
(806) 656-5008
Mailing address
2100 FM 2590 STE 200, CANYON, TX 79015-1982
(806) 656-5006
(806) 656-5008

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
12-00325
KS
213E00000X
Podiatrist
Primary
3075
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
114092
BLUE CROSS BLUE SHIELD
KS
01
1M2835
MEDICARE
TX
Enumeration date
05/23/2005
Last updated
08/10/2021
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