Organization
FEET FIRST PODIATRIC CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN RICHARD FREDETTE DPM (PRESIDENT)
(210) 431-9060
Entity
Organization
Contact information
Practice address
422 N GENERAL MCMULLEN, STE 102, SAN ANTONIO, TX 78237-1572
(210) 431-9060
(210) 431-9660
Mailing address
PO BOX 270504, FLOWER MOUND, TX 75027-0504
(972) 874-0116
(972) 874-0206
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z000664N2
—
TX
Enumeration date
01/24/2006
Last updated
05/07/2008
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