# DIANE M PHALEN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Marcos Foot and Ankle Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467637405
- **Authorized official:** DR. DIANE MARIE PHALEN DPM (OWNER)
- **Authorized official phone:** (512) 396-0808

## Contact information

- **Practice address:** 1305 WONDER WORLD DR, 304, SAN MARCOS, TX 78666-7546
- **Practice address phone:** (512) 396-0808
- **Practice address fax:** (512) 396-0804
- **Mailing address:** 1305 WONDER WORLD DR, 304, SAN MARCOS, TX 78666-7546
- **Mailing address phone:** (512) 396-0808
- **Mailing address fax:** (512) 396-0804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0992 | TX | Yes |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 04/01/2015