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Contact Information

PMC FOOT AND ANKLE CLINIC PA
128 VISION PARK BLVD STE 135
SHENANDOAH, TX77384-3017
 Phone: 832-585-1620
 Fax: 855-787-3211
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Sports Medicine

213ES0000X 48 Podiatry
Indicates primary specialty

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

NPI Number 1922579267
Status Active
Credentials
Entity Individual
Enumeration date 12/16/2018
Last updated 05/08/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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