Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1235168311 |
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| LBN Legal business name | ARK LA TEX FOOT & ANKLE SPECIALISTS, LLC | ||||||||||||
| Authorized official | GREGORY BRYAN - (OWNER/MANAGER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 07/01/2006 | ||||||||||||
| Last updated | 02/27/2020 - About 6 years ago | ||||||||||||
| Identifiers |
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