Organization
ADVANCED FOOT SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN A BASSICHIS MD (OWNER)
(214) 394-8645
Entity
Organization
Contact information
Practice address
201 E INTERSTATE 30, SUITE B, ROCKWALL, TX 75087-5402
(214) 771-3668
(972) 774-0066
Mailing address
4515 DORSET RD, DALLAS, TX 75229-6301
(214) 394-8645
(972) 774-1777
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2086
TX
Other
Enumeration date
07/16/2014
Last updated
01/04/2016
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