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General NPI Number Information
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NPI Number | 1083726376
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Entity Type | Individual
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Provider Name | MICHAEL D. TRAHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 11920 ASTORIA BLVD STE 460
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City | HOUSTON
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State | TX
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Zip | 77089-6155
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Country | US
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Telephone | 713-486-7650
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Fax | 832-328-0686
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Provider Business Mailing Address
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Address Line | 6431 FANNIN ST # 4.020
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-500-7279
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Fax | 434-654-7752
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | L3164
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License Number State | TX
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