Organization
RELIANT FOOT & ANKLE SPECIALIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LAM DPM (OWNER)
(214) 606-6895
Entity
Organization
Contact information
Practice address
1650 W ROSEDALE ST STE 204, FORT WORTH, TX 76104-7400
Mailing address
7925 CALDELANA WAY, FORT WORTH, TX 76131-3218
(214) 606-6895
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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