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Organization
ACADEMY FOOT & ANKLE SPECIALISTS, P.A.
Active
Organization
ACADEMY FOOT & ANKLE SPECIALISTS, P.A.
Active
Other names
Academy Foot & Ankle Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA L NUNEZ (ADMINISTRATOR)
(817) 424-3668
Entity
Organization
Contact information
Practice address
1940 HIGHWAY 114, STE 150, SOUTHLAKE, TX 76092-6526
(817) 424-3668
(817) 442-8637
Mailing address
1940 E STATE HWY 114, SUITE 150, SOUTHLAKE, TX 76092-6526
(817) 424-3668
(817) 442-8637
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356541346
GROUP NPI
TX
01
—
U66467
DR. MARCIANO'S UPIN
TX
Enumeration date
07/19/2007
Last updated
05/22/2020
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