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Organization

DEFORMITY RECONSTRUCTION SPECIALISTS PLLC

Active
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Organization

DEFORMITY RECONSTRUCTION SPECIALISTS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EIDEH ATWAY (OWNER)
(607) 221-4229
Entity
Organization

Contact information

Practice address
1245 FALCON DR, GRAPEVINE, TX 76051-1117
(607) 221-4229
Mailing address
1245 FALCON DR, GRAPEVINE, TX 76051-1117
(607) 221-4229

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—

Other

Enumeration date
01/05/2017
Last updated
01/05/2017
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