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Contact Information

DFW FOOT AND ANKLE, PA
2281 OLYMPIA DRIVE
#200
FLOWER MOUND, TX75028
 Phone: 972-899-2170
 Fax: 972-899-2171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DFW FOOT AND ANKLE, PA

NPI Number 1720267065
LBN Legal business name DFW FOOT AND ANKLE, PA
Authorized official DAVEY SUH - (PRESIDENT/PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2007
Last updated 05/28/2014 - About 12 years ago
Identifiers
TX License # 1581
TX Medicaid 148292901
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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