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Organization

FOOT AND ANKLE ASSOCIATES OF NORTH TEXAS, LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI CERAMI (CHIEF OPERATING OFFICER)
(817) 796-3245
Entity
Organization

Contact information

Practice address
2421 IRA E WOODS AVE, STE 100, GRAPEVINE, TX 76051-3906
(817) 416-6155
(817) 329-9434
Mailing address
2421 IRA E WOODS AVE, STE 100, GRAPEVINE, TX 76051-3906
(817) 416-6155
(817) 329-9434

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00576U
BCBS
TX
Enumeration date
06/29/2006
Last updated
07/13/2015
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