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Organization
ADVANCED FOOT AND ANKLE ASSOCIATES PLLC
Active
Organization
ADVANCED FOOT AND ANKLE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL OLIN PENDLETON DPM (OWNER/PHYSICIAN)
(817) 238-8400
Entity
Organization
Contact information
Practice address
6312 AZLE AVE, LAKE WORTH, TX 76135-2442
(817) 238-8400
(817) 238-8401
Mailing address
6312 AZLE AVE, LAKE WORTH, TX 76135-2442
(817) 238-8400
(817) 238-8401
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1916
TX
Other
Enumeration date
06/14/2010
Last updated
11/28/2023
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