# BLUEBONNET FOOT AND ANKLE INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1508353152
- **Authorized official:** BABAK KAVIANI DPM (PRESIDENT/OWNER)
- **Authorized official phone:** (512) 394-5108

## Contact information

- **Practice address:** 4131 SPICEWOOD SPRINGS RD STE K1, AUSTIN, TX 78759-8600
- **Practice address phone:** (512) 394-5108
- **Practice address fax:** (512) 394-5109
- **Mailing address:** PO BOX 91674, AUSTIN, TX 78709-1674
- **Mailing address phone:** (512) 394-5108
- **Mailing address fax:** (512) 394-5109

## Taxonomy

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

## Other

- **Enumeration date:** 04/19/2018
- **Last updated:** 01/16/2024