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DFW FOOT AND ANKLE PA NPI 1720267065


NPI Information

NPI: 1720267065
Provider Name: DFW FOOT AND ANKLE, PA

Other Name: DFW FOOT AND ANKLE, PA

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2281 OLYMPIA DRIVE
#200
FLOWER MOUND, TX
ZIP 75028
Phone: (972) 899-2170
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DFW FOOT AND ANKLE, PA is a foot and ankle surgery podiatrist in Flower Mound, TX. DFW FOOT AND ANKLE, PA NPI is 1720267065. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Dfw Foot And Ankle, Pa.

The provider's business location address is:

2281 OLYMPIA DRIVE
#200
FLOWER MOUND, TX
ZIP 75028
Phone: (972) 899-2170
Fax: (972) 899-2171

The provider's authorized official is Davey Paschael Suh .
The authorized official title is President/provider and has the following contact phone number (972) 899-2170.

The enumeration date for this NPI number is 11/2/2007 and was last updated on 5/28/2014.


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
1213E00000XPodiatrist1581TEXASNo
2213ES0103XPodiatristFoot & Ankle Surgery1581TEXASYes

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
1148292901MEDICAIDTEXAS
200292TMEDICARE PINTEXAS
3U86623MEDICARE UPINTEXAS
44661350002MEDICARE NSCTEXAS

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

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.