Organization
BALLEW & ASSOCIATES PODIATRY, P.A.
Active
Other names
Waco Foot & Ankle, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
KARINA LOYA D.P.M. (PRESIDENT)
(254) 776-6995
Entity
Organization
Contact information
Practice address
201 COLONNADE PKWY, SUITE 100, WACO, TX 76712-6174
(254) 779-6995
(254) 776-5577
Mailing address
201 COLONNADE PKWY, SUITE 100, WACO, TX 76712-6174
(254) 779-6995
(254) 776-5577
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00166N
BC/BS GROUP ID
TX
05
—
080042701
—
TX
01
—
CG1197
MEDICARE RAILROAD
TX
Enumeration date
02/18/2006
Last updated
12/01/2014
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