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Organization
ACADEMY FOOT AND ANKLE SPECIALISTS AT KELLER PLLC
Active
Organization
ACADEMY FOOT AND ANKLE SPECIALISTS AT KELLER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MARCIANO DPM (OWNER)
(817) 424-3668
Entity
Organization
Contact information
Practice address
4444 HERITAGE TRACE PKWY, SUITE 400, KELLER, TX 76244-5378
(817) 424-3668
(817) 442-8637
Mailing address
1940 HIGHWAY 114, SUITE 150, SOUTHLAKE, TX 76092-6526
(817) 424-3668
(817) 442-8637
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1364
TX
Other
Enumeration date
06/17/2009
Last updated
12/12/2016
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