# THE FOOT STORE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487014015
- **Authorized official:** BRANDY FERDINAND (MANAGER)
- **Authorized official phone:** (210) 224-9214

## Contact information

- **Practice address:** 305 E EUCLID AVE, SAN ANTONIO, TX 78212-4709
- **Practice address phone:** (210) 224-9214
- **Practice address fax:** (210) 224-9254
- **Mailing address:** 305 E EUCLID AVE, SAN ANTONIO, TX 78212-4709
- **Mailing address phone:** (210) 224-9214
- **Mailing address fax:** (210) 224-9254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/24/2016
- **Last updated:** 02/24/2016