Organization
NORTH TEXAS FOOT AND ANKLE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JAMES HAUSENFLUKE DPM (OWNER)
(972) 530-3000
Entity
Organization
Contact information
Practice address
2020 N GLENBROOK DR, GARLAND, TX 75040-4125
(972) 530-3000
(214) 369-6259
Mailing address
2020 N GLENBROOK DR, GARLAND, TX 75040-4125
(972) 530-3000
(214) 369-6259
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
1516
TX
332B00000X
Durable Medical Equipment & Medical Supplies
1516
TX
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168695801
—
TX
Enumeration date
05/22/2007
Last updated
09/28/2016
Update your record
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