Organization
SOUTHWEST SURGERY AND WOUND CARE PHYSICIANS
Active
Other names
Southwest Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
REZA MOBARAK DPM (OWNER)
(972) 424-3505
Entity
Organization
Contact information
Practice address
5804 COIT RD STE 100, PLANO, TX 75023-5955
(972) 424-3505
(972) 497-2580
Mailing address
502 N VALLEY PKWY STE 2, LEWISVILLE, TX 75067-3437
(972) 316-0902
(972) 316-1161
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1714
TX
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
12/17/2008
Last updated
04/22/2021
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