Organization
RESTORE FOOT AND ANKLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSEMARIE RESENDEZ D.P.M. (PODIATRIST)
(817) 226-8199
Entity
Organization
Contact information
Practice address
701 TUSCAN DR STE 220, IRVING, TX 75039-3838
(972) 432-9191
(972) 432-0538
Mailing address
PO BOX 120102, ARLINGTON, TX 76012-0102
(817) 226-8199
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00P2P3
TXBCBS GROUP #
TX
Enumeration date
11/07/2014
Last updated
08/17/2015
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