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
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