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FOOT & ANKLE SPECIALISTS OF CORPUS CHRISTI PLLC NPI 1164017703


NPI Information

NPI: 1164017703
Provider Name: FOOT & ANKLE SPECIALISTS OF CORPUS CHRISTI PLLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
505 HOUSTON ST
PORTLAND, TX
ZIP 78374
Phone: (361) 977-2035
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FOOT & ANKLE SPECIALISTS OF CORPUS CHRISTI PLLC is a podiatrist in Portland, TX. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FOOT & ANKLE SPECIALISTS OF CORPUS CHRISTI PLLC NPI is 1164017703. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 HOUSTON ST
PORTLAND, TX
ZIP 78374-645
Phone: (361) 977-2035
Fax: (361) 977-2038

The provider's authorized official is Corey Michael Goolsby .
The authorized official title is Provider/owner and has the following contact phone number (361) 977-2035.

The enumeration date for this NPI number is 3/5/2021 and was last updated on 3/5/2021.


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
1213E00000XPodiatristYes

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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