Organization
ADVANCED FOOT AND ANKLE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL PENDLETON D.P.M. (DIRECTOR)
(817) 400-2004
Entity
Organization
Contact information
Practice address
833 TOWNE CT, SAGINAW, TX 76179-1280
(817) 400-2004
Mailing address
824 KENTUCKY DERBY LN, FORT WORTH, TX 76179-7322
(817) 400-2004
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1916
TX
Other
Enumeration date
06/24/2010
Last updated
08/11/2020
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