Individual
ALAN G GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
800 5TH AVE STE 400, FORT WORTH, TX 76104
(817) 702-9100
Mailing address
200 W MAGNOLIA AVE STE 201, FORT WORTH, TX 76104-7657
(817) 702-2977
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1737
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1737
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174173802
—
TX
01
—
174173803
CSHCN
TX
01
—
8K7414
BCBS
TX
01
—
P00275259
RAILROAD MEDICARE PIN
TX
Enumeration date
06/15/2006
Last updated
04/09/2019
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