Organization
ADVANCE FOOT CENTER
Active
Parent organization
ADVANCE FOOT CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCE FOOT CENTER
Authorized official
KEVIN NGUYEN-KHOA DPM (PRESIDENT)
(817) 265-1595
Entity
Organization
Contact information
Practice address
2909 S. HAMPTON ROAD, SUITE 122, DALLAS, TX 75224
(877) 482-6407
(817) 701-1742
Mailing address
1327 E. PIONEER PARKWAY, ARLINGTON, TX 76010
(817) 265-1595
(817) 701-1742
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
DP1396
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0927402-01
—
TX
Enumeration date
02/23/2010
Last updated
02/23/2010
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