Doctor Name: | DR. DONALD CALVIN STRAN |
NPI Number: | 1164403408 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | TX1036 |
Business Practice Address: | 345 E Parkwood Ave Friendswood, TX - 775465147 |
Business Phone Number: | 2819920006 |
Business Fax Number: | 2819920009 |
Mailing Address: | 121 Highway 332 W, Ste. G LAKE JACKSON |
State: | TX |
Postal Code: | 775664028 |
Phone Number: | 9792978500 |
Fax Number: | 9792976883 |
NPI Enumeration Date: | 11/11/2005 |
NPI Last Update Date: | 03/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | TX1036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |