Organization
ATHENS FOOT AND ANKLE HEALTH AND SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MATTHEW ALLEN D.P.M. (PODIATRIST)
(903) 675-1337
Entity
Organization
Contact information
Practice address
1123 S PALESTINE ST, SUITE 200, ATHENS, TX 75751-3646
(903) 675-1337
(903) 675-4351
Mailing address
1123 S PALESTINE ST, SUITE 200, ATHENS, TX 75751-3646
(903) 675-1337
(903) 675-4351
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1533P
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067GR
BCBS PROVIDER #
TX
01
—
DME
5370860001
TX
Enumeration date
02/28/2007
Last updated
08/22/2020
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