Organization
SOUTH TEXAS FOOT SURGEONS, P.A.
Active
Other names
Progressive Podiatry Centers, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAY FISH DPM (PRESIDENT)
(210) 616-0819
Entity
Organization
Contact information
Practice address
5282 MEDICAL DR, SUITE 260, SAN ANTONIO, TX 78229-4849
(210) 616-0819
(210) 692-9529
Mailing address
PO BOX 690548, SAN ANTONIO, TX 78269-0548
(210) 616-0819
(210) 692-9529
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1132
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1132
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156698601
—
TX
Enumeration date
10/23/2006
Last updated
08/19/2020
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