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Organization
HEART OF TEXAS FOOT CARE CENTER, P.A.
Active
Organization
HEART OF TEXAS FOOT CARE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOHN MARSHALL YOUNG D.P.M. (OWNER/PHYSICIAN)
(325) 646-0715
Entity
Organization
Contact information
Practice address
103 A SOUTH PARK DR., BROWNWOOD, TX 76801
(326) 646-0715
(325) 646-3734
Mailing address
103 A SOUTH PARK DR., BROWNWOOD, TX 76801
(326) 646-0715
(325) 646-3734
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092724604
—
TX
05
—
159094503
—
TX
01
—
8K2280
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
05/23/2005
Last updated
12/06/2018
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