Organization
FOOTCARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY CHARLES MASHIGIAN DPM (PODIATRIST)
(972) 939-1757
Entity
Organization
Contact information
Practice address
4333 N JOSEY LN, 206, CARROLLTON, TX 75010-4629
(972) 939-1757
(972) 939-1682
Mailing address
4333 N JOSEY LN, 206, CARROLLTON, TX 75010-4629
(972) 939-1757
(972) 939-1682
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014CZ
BCBS GROUP PROV #
TX
05
—
080689501
—
TX
Enumeration date
09/16/2006
Last updated
02/20/2013
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