Organization
BARRY SCHRAGER, DPM, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN M PERSELY (OFC MGR)
(214) 691-5231
Entity
Organization
Contact information
Practice address
5459 LA SIERRA, 101, DALLAS, TX 75230
(214) 691-5231
(214) 691-1090
Mailing address
P O BOX 25014, DALLAS, TX 75225-1014
(214) 691-5231
(214) 691-1090
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
TX0381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067QN
BLUE CROSS
TX
05
—
018765014
—
TX
05
—
1621872-01
—
TX
01
—
4038572
AETNA
TX
01
—
8AJ678
BLUE CROSS PIN
TX
Enumeration date
01/31/2007
Last updated
02/25/2011
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