COMPLETE FOOT AND ANKLE CARE OF NORTH TEXAS PA NPI 1003930231

NPI Information

NPI: 1003930231
Provider Name: COMPLETE FOOT AND ANKLE CARE OF NORTH TEXAS, PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

CLIA Number: 45D2252736

Address:
3319 UNICORN LAKE BLVD
SUITE 111
DENTON, TX
ZIP 76210
Phone: (940) 300-3054
Get Directions

COMPLETE FOOT AND ANKLE CARE OF NORTH TEXAS, PA is a foot and ankle surgery podiatrist in Denton, TX. COMPLETE FOOT AND ANKLE CARE OF NORTH TEXAS, PA NPI is 1003930231. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3319 UNICORN LAKE BLVD
SUITE 111
DENTON, TX
ZIP 76210-121
Phone: (940) 300-3054
Fax: (940) 243-7780

The provider's authorized official is Katina Dionne Stone Butler .
The authorized official title is Practice Administrator and has the following contact phone number (940) 300-3054.

The CLIA number assigned to this NPI record is 45D2252736 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 9/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4167587-01	MEDICAID	TEXAS
2	0020PS	OTHER		BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »