Organization
ARLINGTON MANSFIELD FOOT & ANKLE CENTERS, PA
Active
Other names
MANSFIELD FOOT AND ANKLE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE SOUTHERLAND DPM (OWNER)
(817) 467-1990
Entity
Organization
Contact information
Practice address
1001 MATLOCK RD STE 103, MANSFIELD, TX 76063
(817) 467-1990
Mailing address
400 W ARBROOK BLVD STE 201, ARLINGTON, TX 76014-3176
(972) 467-1990
(817) 466-8737
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7691060002
DMERC NSC
TX
Enumeration date
06/23/2010
Last updated
09/06/2018
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