# FOOT AND SHOE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003176090
- **Authorized official:** DOUGLAS JAY GRIMM DPM (MEMBER)
- **Authorized official phone:** (512) 733-8600

## Contact information

- **Practice address:** 7700 CAT HOLLOW DR STE 102, ROUND ROCK, TX 78681-5797
- **Practice address phone:** (512) 733-8600
- **Practice address fax:** (512) 733-8602
- **Mailing address:** 4000 CLOUDY RIDGE RD, AUSTIN, TX 78734-2043
- **Mailing address phone:** (512) 733-8600
- **Mailing address fax:** (512) 733-8602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1514 | TX | Yes |

## Other

- **Enumeration date:** 05/23/2012
- **Last updated:** 05/23/2012