AGAVE FOOT SPECIALISTS, PLLC; NPI #1861508541

Contact Information

AGAVE FOOT SPECIALISTS, PLLC

16841 N. 31ST AVE.
STE. 134
PHOENIX, AZ 85053-3051

Phone: 623-322-5501
Fax: 623-322-8996
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 AGAVE FOOT SPECIALISTS, PLLC

NPI Number 1861508541

LBN Legal business name AGAVE FOOT SPECIALISTS, PLLC

Authorized official HEATHER COUCH - (OWNER/PODIATRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/22/2006

Last updated 02/26/2008 - About 18 years ago

Identifiers

AZ	License #	0552
AZ	Other	Z78990	MEDICARE ID-PIN
AZ	Other	DD0997	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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AGAVE FOOT SPECIALISTS, PLLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for AGAVE FOOT SPECIALISTS, PLLC

Reviews for AGAVE FOOT SPECIALISTS, PLLC