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Contact Information

ADVANCED FOOT & ANKLE CENTER OF TEXARKANA, P.A.
5606 SUMMERHILL RD
TEXARKANA, TX75503-1819
 Phone: 903-791-1222
 Fax: 903-791-8310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ADVANCED FOOT & ANKLE CENTER OF TEXARKANA, P.A.

NPI Number 1114139730
LBN Legal business name ADVANCED FOOT & ANKLE CENTER OF TEXARKANA, P.A.
Authorized official PHILIP HAHN - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/04/2007
Last updated 10/22/2014 - About 12 years ago
Identifiers
TX License # 1134
AR Medicaid 128263717
TX Medicaid 018709801
TX Other DR8730 RAILROAD MEDICARE
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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