MEDICARE: DR. DONALD CALVIN STRAN D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	TX1036	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	89480Y	OTHER	TX	BCBS PROVIDER
3	00DX90	OTHER	TX	BCBS PROVIDER

General Provider Information

NPI Number	:	1164403408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD CALVIN STRAN D.P.M.

Provider Business Mailing Address
First Line	:	121 HIGHWAY 332 W
Second Line	:	STE. G
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-4028
Country	:	US
Telephone Number	:	979-297-8500
Fax Number	:	979-297-6883

Provider Business Practice Location Address
First Line	:	345 E PARKWOOD AVE
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-5147
Country	:	US
Telephone Number	:	281-992-0006
Fax Number	:	281-992-0009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	03/11/2009

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Directions to “ DR. DONALD CALVIN STRAN D.P.M.” Practice Location

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