Individual
ANASTASIOS SOTIROPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
13021 COIT RD, SUITE 200, DALLAS, TX 75240-5789
(469) 223-0606
Mailing address
PO BOX 38561, DALLAS, TX 75238-0561
(469) 223-0606
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00393Y
MEDICARE GROUP ID
TX
01
—
0053JB
BLUE CROSS BLUE SHIELD
TX
01
—
1621
MEDICAL LICENSE
TX
01
—
P00217354
MEDICARE RAILROAD
—
Enumeration date
11/04/2007
Last updated
12/03/2008
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