Organization
INNOVATIVE FOOT AND ANKLE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK MATTHEWS DPM (PODIATRIST)
(917) 923-8394
Entity
Organization
Contact information
Practice address
4701 OLD SHEPARD PL STE 260, PLANO, TX 75093-5250
(817) 596-5077
(214) 299-6317
Mailing address
4701 OLD SHEPARD PL STE 260, PLANO, TX 75093-5250
(817) 596-5077
(214) 299-6317
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2186
TX
Other
Enumeration date
08/05/2016
Last updated
07/10/2023
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