Organization
FOOT AND AND ANKLE PODIATRY OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSIE REDFEARN (OFFICE MANAGER)
(915) 533-1622
Entity
Organization
Contact information
Practice address
601 SUNLAND PARK DR, EL PASO, TX 79912-5131
(915) 533-1622
Mailing address
601 SUNLAND PARK DR, EL PASO, TX 79912-5131
(915) 533-1622
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1526
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1587
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1898
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609918697
DME
TX
Enumeration date
06/11/2013
Last updated
06/11/2013
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