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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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