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Organization
COMPLETE FOOT AND ANKLE CARE OF NORTH TEXAS, PA
Active
Organization
COMPLETE FOOT AND ANKLE CARE OF NORTH TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATINA DIONNE STONE BUTLER (PRACTICE ADMINISTRATOR)
(940) 300-3054
Entity
Organization
Contact information
Practice address
3319 UNICORN LAKE BLVD, SUITE 111, DENTON, TX 76210-0121
(940) 300-3054
(940) 243-7780
Mailing address
3319 UNICORN LAKE BLVD, SUITE 111, DENTON, TX 76210-0121
(940) 300-3054
(940) 243-7780
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020PS
BCBS
—
05
—
4167587-01
—
TX
Enumeration date
03/16/2007
Last updated
07/15/2024
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