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Contact Information

ACADEMY FOOT & ANKLE SPECIALISTS AT HIGHLAND VILLAGE PLLC
5810 LONG PRAIRIE ROAD
SUITE 400
FLOWER MOUND, TX75028
 Phone: 817-424-3668
 Fax: 817-442-8637
 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 ACADEMY FOOT & ANKLE SPECIALISTS AT HIGHLAND VILLAGE PLLC

NPI Number 1932493574
LBN Legal business name ACADEMY FOOT & ANKLE SPECIALISTS AT HIGHLAND VILLAGE PLLC
Authorized official PAUL MARCIANO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/31/2011
Last updated 12/13/2016 - About 9 years ago
Identifiers
TX License # 1364
TX License # 2176
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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