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Organization

WATER OAK FOOT AND ANKLE SURGERY

Active
Other names
Water Oak Foot and Ankle Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW MCCABE DPM (PHYSICIAN)
(325) 480-2063
Entity
Organization

Contact information

Practice address
2270 MATLOCK RD STE 104, MANSFIELD, TX 76063-3710
(325) 480-2063
(702) 514-6292
Mailing address
2270 MATLOCK RD STE 104, MANSFIELD, TX 76063-3710
(325) 480-2063
(702) 514-6292

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
261QP1100X
Podiatric Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8LA098
BCBS REGISTERED ID
TX
01
8LA099
BCBS REGISTERED ID
TX
Enumeration date
05/21/2021
Last updated
12/12/2022
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