Organization
DIABETIC FOOTWEAR 4 U
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGH KENNETH KEY JR. (OWNER/CEO)
(512) 363-5665
Entity
Organization
Contact information
Practice address
13210 VILLA PARK DR, AUSTIN, TX 78729-3729
(512) 363-5665
Mailing address
13210 VILLA PARK DR, AUSTIN, TX 78729-3729
(512) 363-5665
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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