Organization
ARLINGTON MANSFIELD FOOT & ANKLE CENTERS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE TALTSON SOUTHERLAND DPM (PODIATRIST OWNER)
(817) 467-1990
Entity
Organization
Contact information
Practice address
400 W ARBROOK BLVD, STE 201, ARLINGTON, TX 76014-3174
(817) 467-1990
(817) 466-8737
Mailing address
400 W ARBROOK BLVD, STE 201, ARLINGTON, TX 76014-3174
(817) 467-1990
(817) 466-8737
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T16E
BCBS
—
Enumeration date
06/08/2007
Last updated
10/15/2012
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