Healthcare Provider Details

I. General information

NPI: 1245534551
Provider Name (Legal Business Name): DARLENE TRAN RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2010
Last Update Date: 08/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 EMPIRE CIR
ARLINGTON TX
76002-6602
US

IV. Provider business mailing address

1802 EMPIRE CIR
ARLINGTON TX
76002-6602
US

V. Phone/Fax

Practice location:
  • Phone: 214-227-2457
  • Fax: 214-764-0880
Mailing address:
  • Phone: 214-227-2457
  • Fax: 214-764-0880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number650544
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: