Organization
COMPLETE FOOT AND ANKLE CARE OF NORTH TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATINA DIONNE STONE BUTLER (PRACTICE ADMINISTRATOR)
(940) 300-3054
Entity
Organization
Contact information
Practice address
3319 UNICORN LAKE BLVD, SUITE 111, DENTON, TX 76210-0121
(940) 300-3054
(940) 243-7780
Mailing address
3319 UNICORN LAKE BLVD, SUITE 111, DENTON, TX 76210-0121
(940) 300-3054
(940) 243-7780
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020PS
BCBS
—
05
—
4167587-01
—
TX
Enumeration date
03/16/2007
Last updated
07/15/2024
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