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Organization
ACADEMY FOOT & ANKLE SPECIALISTS AT HIGHLAND VILLAGE PLLC
Active
Organization
ACADEMY FOOT & ANKLE SPECIALISTS AT HIGHLAND VILLAGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL THOMAS MARCIANO DPM (OWNER)
(817) 424-3668
Entity
Organization
Contact information
Practice address
5810 LONG PRAIRIE ROAD, SUITE 400, FLOWERMOUND, TX 75028
(817) 424-3668
(817) 442-8637
Mailing address
1940 WEST HIGHWAY 114, SUITE 150, SOUTHLAKE, TX 76092
(817) 424-3668
(817) 442-8637
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1364
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2176
TX
Other
Enumeration date
05/31/2011
Last updated
12/13/2016
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