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FOOTCARE PA NPI 1629174446


NPI Information

NPI: 1629174446
Provider Name: FOOTCARE PA
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
4333 N JOSEY LN
206
CARROLLTON, TX
ZIP 75010
Phone: (972) 939-1757
Get Directions

FOOTCARE PA is a primary podiatric medicine podiatrist in Carrollton, TX. FOOTCARE PA NPI is 1629174446. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4333 N JOSEY LN
206
CARROLLTON, TX
ZIP 75010-629
Phone: (972) 939-1757
Fax: (972) 939-1682

The provider's authorized official is Gary Charles Mashigian .
The authorized official title is Podiatrist and has the following contact phone number (972) 939-1757.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 2/20/2013.


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
1213EP1101XPodiatristPrimary Podiatric MedicineYes

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
15160860002MEDICARE NSCTEXAS
200497KMEDICARE ID-TYPE UNSPECIFIEDTEXASGROUP PROVIDER NUMBER
3080689501MEDICAIDTEXAS
40014CZOTHERTEXASBCBS GROUP PROV #

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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