# WATER OAK FOOT AND ANKLE SURGERY

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

## Provider details

- **NPI number:** 1093308983
- **Authorized official:** MATTHEW MCCABE DPM (PRESIDENT)
- **Authorized official phone:** (702) 630-1905

## Contact information

- **Practice address:** 2270 MATLOCK RD STE 104, MANSFIELD, TX 76063-3710
- **Practice address phone:** (325) 480-2063
- **Practice address fax:** (702) 514-6292
- **Mailing address:** 2270 MATLOCK RD STE 104, MANSFIELD, TX 76063-3710
- **Mailing address phone:** (325) 480-2063
- **Mailing address fax:** (702) 514-6292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/11/2021
- **Last updated:** 09/06/2023
