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Contact Information

FOOT & ANKLE SPECIALTY CLINIC INC.
1714 KINGS HWY
SHREVEPORT, LA71103-4152
 Phone: 318-636-2669
 Fax: 318-636-2663
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT & ANKLE SPECIALTY CLINIC INC.

NPI # 1326355280
LBN Legal business name FOOT & ANKLE SPECIALTY CLINIC INC.
Authorized official ALAYE WHYTE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2010
Last updated 09/13/2010 - About 16 years ago
Identifiers
LA License # PD166R
LA Medicaid 1674541
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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