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Organization
ADDISON FOOT CENTER
Active
Organization
ADDISON FOOT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAT A FOX (OFFICE MANAGER)
(972) 239-4398
Entity
Organization
Contact information
Practice address
5000 BELT LINE RD, SUITE 900, DALLAS, TX 75254-6789
(972) 239-4398
(972) 239-4329
Mailing address
5000 BELTLINE RD, SUITE 900, DALLAS, TX 75254
(972) 239-4398
(972) 239-4329
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0562
TX
213E00000X
Podiatrist
Primary
0588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124299672
NPI
TX
01
—
1760492839
NPI
TX
01
—
886222
BLUE CROSS BLUE SHIELD
TX
01
—
886223
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/23/2006
Last updated
04/28/2008
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