Organization
COMFORT PODIATRY, PA
Active
Other names
COMFORT PODIATRY, PA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCY SCOTT (OFFICE MANAGER)
(214) 398-1234
Entity
Organization
Contact information
Practice address
1151 N BUCKNER BLVD STE 304, PROFESSIONAL, DALLAS, TX 75218-3405
(214) 398-1234
(214) 398-1386
Mailing address
1151 N BUCKNER BLVD STE 304, PROFESSIONAL BLDG. 1, DALLAS, TX 75218-3405
(214) 398-1234
(214) 398-1386
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034NC
BCBS
TX
05
—
176120701
—
TX
01
—
DO6641
RAIL ROAD MEDICARE GROUP PTAN
TX
Enumeration date
01/17/2008
Last updated
08/04/2010
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