Organization
AUSTIN FOOT & ANKLE CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ARNALDO RIVERA D.P.M (DIRECTOR)
(512) 649-3166
Entity
Organization
Contact information
Practice address
4316 JAMES CASEY ST, BLDG. F, STE. 100, AUSTIN, TX 78745-1116
(512) 649-3166
(877) 528-6642
Mailing address
PO BOX 49547, AUSTIN, TX 78765-9547
(512) 649-3166
(877) 528-6642
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1937
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902864333
PROVIDER INDIVIDUAL NPI NUMBER
—
05
—
217754501
—
TX
01
—
B107458
MEDICARE PROVIDER NUMBER
TX
Enumeration date
05/22/2014
Last updated
05/22/2014
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