Provider Demographics
NPI:1093247892
Name:TRAN, DAVID V (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:V
Last Name:TRAN
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:ST. FRANCIS PODIATRY
Mailing Address - Street 2:2600 TOWER DRIVE
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201
Mailing Address - Country:US
Mailing Address - Phone:318-966-6480
Mailing Address - Fax:318-966-6481
Practice Address - Street 1:2600 TOWER DR STE 215
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5783
Practice Address - Country:US
Practice Address - Phone:318-966-6480
Practice Address - Fax:318-966-6481
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2021-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA324403213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA324403OtherSTATE LICENSE