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Organization

ABLE PODIATRY

Active
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Organization

ABLE PODIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANASTASIOS SOTIROPOULOS DPM (OWNER)
(469) 223-0606
Entity
Organization

Contact information

Practice address
9 MEDICAL PKWY, PROFESSIONAL PLAZA 4, SUITE 304, FARMERS BRANCH, TX 75234-7858
(469) 223-0606
Mailing address
P O BOX 38561, DALLAS, TX 75238-0561
(469) 223-0606
(214) 341-8846

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 ID
TX
01
1621
TX STATE LICENSE NUMBER
TX
01
8D3049
MEDICARE PROVIDER ID
TX
01
P00217354
MEDICARE RAILROAD CARRIER
TX
Enumeration date
02/04/2007
Last updated
09/27/2009
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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