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Organization
ANKLE AND FOOT SURG EXCEL PA
Active
Organization
ANKLE AND FOOT SURG EXCEL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE ELLIS (BUSINESS OFFICE SUPERVISOR)
(713) 355-8600
Entity
Organization
Contact information
Practice address
4120 SOUTHWEST FWY, SUITE 200, HOUSTON, TX 77027-7339
(713) 355-8600
(713) 355-8069
Mailing address
PO BOX 4356, DEPT 789, HOUSTON, TX 77210-4356
(713) 355-8600
(713) 355-8069
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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