Organization
ADVANCED LOWER EXTREMITY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOLLIE N SEAGO COC, CPC (REVENUE CYCLE MANAGER)
(214) 378-4656
Entity
Organization
Contact information
Practice address
1801 N HAMPTON RD, SUITE 340, DESOTO, TX 75115-2391
(214) 378-4656
(866) 375-8173
Mailing address
PO BOX 674074, DALLAS, TX 75267-4074
(214) 378-4656
(866) 375-8173
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
TX2042
TX
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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