Provider Demographics
NPI:1285652578
Name:TRAN, MICHAEL V (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:V
Last Name:TRAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3030 MATLOCK RD STE 102
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2934
Mailing Address - Country:US
Mailing Address - Phone:817-276-4600
Mailing Address - Fax:817-276-4611
Practice Address - Street 1:3030 MATLOCK RD STE 102
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2934
Practice Address - Country:US
Practice Address - Phone:817-276-4600
Practice Address - Fax:817-276-4611
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1684213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
8C1058Medicare ID - Type Unspecified
TXV00485Medicare UPIN