Organization
NEW BRAUNFELS PODIATRY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA SUE MOORE (BILLING OFFICE)
(830) 625-1484
Entity
Organization
Contact information
Practice address
1524 N WALNUT AVE, NEW BRAUNFELS, TX 78130-6074
(830) 625-1642
(830) 625-1672
Mailing address
1524 N WALNUT AVE, NEW BRAUNFELS, TX 78130-6074
(830) 625-1642
(830) 625-1672
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T41E
GROUP NUMBER
—
05
—
0852469-01
—
TX
Enumeration date
02/27/2008
Last updated
11/19/2008
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