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Contact Information

DFW FOOT AND ANKLE, PA
2281 OLYMPIA DRIVE
#200
FLOWER MOUND, TX75028
 Phone: 972-899-2170
 Fax: 972-899-2171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DFW FOOT AND ANKLE PA · (Female)

NPI # 1720267065
Status Active
Credentials
Entity Individual
Enumeration date 11/02/2007
Last updated 05/28/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 1581
  • TX Medicaid 148292901
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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