Organization
DIANE M PHALEN
Active
Other names
San Marcos Foot and Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE MARIE PHALEN DPM (OWNER)
(512) 396-0808
Entity
Organization
Contact information
Practice address
1305 WONDER WORLD DR, 304, SAN MARCOS, TX 78666-7546
(512) 396-0808
(512) 396-0804
Mailing address
1305 WONDER WORLD DR, 304, SAN MARCOS, TX 78666-7546
(512) 396-0808
(512) 396-0804
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018653801
—
TX
Enumeration date
01/09/2008
Last updated
04/01/2015
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