# ACADEMY FOOT & ANKLE SPECIALISTS AT HIGHLAND VILLAGE PLLC

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

## Provider details

- **NPI number:** 1932493574
- **Authorized official:** PAUL THOMAS MARCIANO DPM (OWNER)
- **Authorized official phone:** (817) 424-3668

## Contact information

- **Practice address:** 5810 LONG PRAIRIE ROAD, SUITE 400, FLOWERMOUND, TX 75028
- **Practice address phone:** (817) 424-3668
- **Practice address fax:** (817) 442-8637
- **Mailing address:** 1940 WEST HIGHWAY 114, SUITE 150, SOUTHLAKE, TX 76092
- **Mailing address phone:** (817) 424-3668
- **Mailing address fax:** (817) 442-8637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 1364 | TX | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 2176 | TX | Yes |

## Other

- **Enumeration date:** 05/31/2011
- **Last updated:** 12/13/2016