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Organization
SOUTH AUSTIN FOOT ASSOCIATES PC
Active
Organization
SOUTH AUSTIN FOOT ASSOCIATES PC
Active
Other names
South Clinic Foot Clinic A Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS L BERGER DPM (PRESIDENT)
(512) 447-2025
Entity
Organization
Contact information
Practice address
5656 BEE CAVES RD STE D204, WEST LAKE HILLS, TX 78746-5236
(512) 447-2025
(512) 447-4968
Mailing address
5656 BEE CAVES RD STE D204, WEST LAKE HILLS, TX 78746-5236
(512) 447-2025
(512) 447-4968
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0709
TX
213E00000X
Podiatrist
Primary
0823
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00DG46
MEDICARE GROUP
—
05
—
0821688-01
—
TX
01
—
1083764419
NPI- INDIVIDUAL
TX
01
—
1497805980
NPI- INDIVIDUAL
TX
Enumeration date
08/31/2006
Last updated
02/22/2021
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