Organization
MAX RIBALD DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX S RIBALD DPM (OWNER/PODIATRIST)
(817) 860-9121
Entity
Organization
Contact information
Practice address
801 ROAD TO SIX FLAGS W STE 150, ARLINGTON, TX 76012-2600
(817) 860-9121
(817) 860-9128
Mailing address
801 ROAD TO SIX FLAGS W STE 150, ARLINGTON, TX 76012-2600
(817) 860-9121
(817) 860-9128
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00CN37
BLUE CROSS
TX
05
—
092761802
—
TX
05
—
10028677
—
TX
Enumeration date
05/21/2008
Last updated
11/07/2008
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