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Organization
NORTH TEXAS FAMILY FOOT CARE CENTER PA
Active
Organization
NORTH TEXAS FAMILY FOOT CARE CENTER PA
Active
Other names
Family Foot and Ankle Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
KEELI HUNTSMAN (BUSINESS ADMIN)
(208) 351-5402
Entity
Organization
Contact information
Practice address
3900 JOE RAMSEY BLVD BLDG 5, GREENVILLE, TX 75401-7727
(903) 455-2383
(903) 455-9419
Mailing address
3900 JOE RAMSEY BLVD E BLDG 5, GREENVILLE, TX 75401-7727
(903) 455-2383
(903) 455-9419
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018808801
—
TX
05
—
092840002
—
TX
01
—
612962
RICHEY-SMITH
TX
Enumeration date
04/06/2007
Last updated
06/12/2024
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