Organization
TOTAL FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE MARIE JACKSON (PRACTICE MANAGER)
(214) 676-9392
Entity
Organization
Contact information
Practice address
6300 W PARKER RD STE 425, PLANO, TX 75093-8104
(972) 942-8080
(972) 759-9083
Mailing address
6300 W PARKER RD STE 425, PLANO, TX 75093-8104
(972) 942-8080
(972) 759-9083
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4122517
—
TX
Enumeration date
09/24/2019
Last updated
11/15/2022
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