Organization
TEXAS FAMILY FOOTCARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANTHONY ANDREONE DPM (OWNER)
(972) 712-4161
Entity
Organization
Contact information
Practice address
5575 WARREN PKWY, SUITE 101, FRISCO, TX 75034-4062
(972) 712-4161
(972) 412-4289
Mailing address
5575 WARREN PKWY, SUITE 101, FRISCO, TX 75034-4062
(972) 712-4161
(972) 412-4289
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055KG
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/07/2007
Last updated
12/12/2007
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