Organization
HM PODIATRY PA
Active
Other names
Academy Foot & Ankle Specialists at flowermound, Academy Foot and ankle specialists at Argyle, Academy Foot & Ankle Specialists at keller, Academy Podiatry, Academy foot & Ankle Specialists at Southlake, academy foot and ankle specialists at Hurst
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA L NUNEZ (CEO)
(817) 424-3668
Entity
Organization
Contact information
Practice address
1940 E STATE HWY 114, SUITE 150, SOUTHLAKE, TX 76092
(817) 424-3668
(817) 442-8637
Mailing address
1940 E STATE HWY 114, SUITE 150, SOUTHLAKE, TX 76092
(817) 424-3668
(817) 442-8637
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013MS
BCBS GROUP
TX
01
—
00408Z
MEDICARE GROUP
TX
01
—
1427057348
DR. AMELUNG NPI
TX
01
—
1558321810
DR MARCIANO NPI
TX
Enumeration date
09/07/2007
Last updated
02/10/2021
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