Provider Demographics
NPI:1205977238
Name:TRAN, KELVIN (DC)
Entity type:Individual
Prefix:DR
First Name:KELVIN
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10544 WALNUT ST
Mailing Address - Street 2:SUITE #101
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-5308
Mailing Address - Country:US
Mailing Address - Phone:972-494-3487
Mailing Address - Fax:972-494-1449
Practice Address - Street 1:10544 WALNUT ST
Practice Address - Street 2:SUITE #101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-5308
Practice Address - Country:US
Practice Address - Phone:972-494-3487
Practice Address - Fax:972-494-1449
Is Sole Proprietor?:No
Enumeration Date:2007-02-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9388111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor