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AVID FOOT & ANKLE CENTER PLLC NPI 1518536200


NPI Information

NPI: 1518536200
Provider Name: AVID FOOT & ANKLE CENTER, PLLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2601 LITTLE ELM PKWY STE 803
LITTLE ELM, TX
ZIP 75068
Phone: (469) 430-9987
Get Directions

AVID FOOT & ANKLE CENTER, PLLC is a podiatrist in Little Elm, 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. AVID FOOT & ANKLE CENTER, PLLC NPI is 1518536200. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2601 LITTLE ELM PKWY STE 803
LITTLE ELM, TX
ZIP 75068-920
Phone: (469) 430-9987
Fax: (972) 767-3608

The provider's authorized official is Dae Sik Alex Kim .
The authorized official title is President and has the following contact phone number (469) 430-9987.

The enumeration date for this NPI number is 6/17/2021 and was last updated on 6/17/2021.


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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