Healthcare Provider Details

I. General information

NPI: 1265528566
Provider Name (Legal Business Name): ALLCARE FOOT & ANKLE CENTER, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 03/25/2021
Certification Date: 03/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 MATLOCK RD STE 102
ARLINGTON TX
76015-2934
US

IV. Provider business mailing address

3030 MATLOCK RD STE 102
ARLINGTON TX
76015-2934
US

V. Phone/Fax

Practice location:
  • Phone: 817-276-4600
  • Fax: 817-276-4611
Mailing address:
  • Phone: 817-276-4600
  • Fax: 817-276-4611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number1684
License Number StateTX

VIII. Authorized Official

Name: DR. MICHAEL V TRAN
Title or Position: PRESIDENT/OWNER
Credential: D.P.M.
Phone: 817-276-4600