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SOUTH TEXAS FOOT & ANKLE SPECIALIST PA NPI 1144478694


NPI Information

NPI: 1144478694
Provider Name: SOUTH TEXAS FOOT & ANKLE SPECIALIST PA
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
6419 POLARIS
SUITE A 1
LAREDO, TX
ZIP 78041
Phone: (956) 718-0075
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SOUTH TEXAS FOOT & ANKLE SPECIALIST PA is a foot and ankle surgery podiatrist in Laredo, TX. SOUTH TEXAS FOOT & ANKLE SPECIALIST PA NPI is 1144478694. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6419 POLARIS
SUITE A 1
LAREDO, TX
ZIP 78041-725
Phone: (956) 718-0075
Fax: (956) 718-0086

The provider's authorized official is Pablo Trevino .
The authorized official title is Owner and has the following contact phone number (956) 718-0075.

The enumeration date for this NPI number is 9/8/2008 and was last updated on 9/16/2015.


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
1213ES0103XPodiatristFoot & Ankle Surgery1856TEXASYes

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
100Z787MEDICARE PINTEXAS
26189200001MEDICARE NSCTEXAS
31407041809OTHERTEXASINDIVIDUAL NPI

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
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