ADVANCED FOOT SPECIALISTS, PLLC; NPI #1104233675

Contact Information

ADVANCED FOOT SPECIALISTS, PLLC

201 E INTERSTATE 30
SUITE B
ROCKWALL, TX 75087-5402

Phone: 214-771-3668
Fax: 972-774-0066
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ADVANCED FOOT SPECIALISTS, PLLC

NPI # 1104233675

LBN Legal business name ADVANCED FOOT SPECIALISTS, PLLC

Authorized official BENJAMIN BASSICHIS - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/16/2014

Last updated 01/04/2016 - About 10 years ago

Identifiers

License #

2086

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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ADVANCED FOOT SPECIALISTS, PLLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ADVANCED FOOT SPECIALISTS, PLLC

Reviews for ADVANCED FOOT SPECIALISTS, PLLC