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Organization

BLUEBONNET FOOT AND ANKLE INSTITUTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BABAK KAVIANI DPM (PRESIDENT/OWNER)
(512) 394-5108
Entity
Organization

Contact information

Practice address
4131 SPICEWOOD SPRINGS RD STE K1, AUSTIN, TX 78759-8600
(512) 394-5108
(512) 394-5109
Mailing address
PO BOX 91674, AUSTIN, TX 78709-1674
(512) 394-5108
(512) 394-5109

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
04/19/2018
Last updated
01/16/2024
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