Organization
HEART OF TEXAS FOOT CARE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOHN MARSHALL YOUNG D.P.M. (OWNER/PHYSICIAN)
(325) 646-0715
Entity
Organization
Contact information
Practice address
103 A SOUTH PARK DR., BROWNWOOD, TX 76801
(326) 646-0715
(325) 646-3734
Mailing address
103 A SOUTH PARK DR., BROWNWOOD, TX 76801
(326) 646-0715
(325) 646-3734
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092724604
—
TX
05
—
159094503
—
TX
01
—
8K2280
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
05/23/2005
Last updated
12/06/2018
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