Organization
PRO ACTIVE PODIATRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARICHART VAIKAYEE DPM (PRESIDENT)
(972) 232-2240
Entity
Organization
Contact information
Practice address
2504 RIDGE RD, SUITE 101B, ROCKWALL, TX 75087-2569
(972) 232-2240
(972) 232-2241
Mailing address
2504 RIDGE RD, SUITE 101B, ROCKWALL, TX 75087-2569
(972) 232-2240
(972) 232-2241
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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