Organization
NEW BRAUNFELS FOOT AND ANKLE SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK KAVIANI KAVIANI DPM (OWNER)
(210) 881-6733
Entity
Organization
Contact information
Practice address
1619 E COMMON ST, SUITE 1202, NEW BRAUNFELS, TX 78130-3452
(210) 881-6733
(210) 881-6726
Mailing address
PO BOX 744, CIBOLO, TX 78108-0744
(210) 881-6733
(210) 881-6726
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1854
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2129157
—
TX
01
—
DQ3405
RAILROAD MEDICARE
TX
Enumeration date
09/03/2009
Last updated
09/14/2010
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