Organization
ADVANCED FOOT& ANKLE FAMILY CLINIC, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSELINE TOUSSAINT D.P.M (DOCTOR OF PODIATRIC MEDICINE)
(512) 251-1252
Entity
Organization
Contact information
Practice address
1024 LIFFEY DR, PFLUGERVILLE, TX 78660-5109
(512) 251-8714
Mailing address
1024 LIFFEY DR, PFLUGERVILLE, TX 78660-5109
(512) 251-8714
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1773
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032QH
BLUE SHIELD
TX
05
—
191667801
—
TX
01
—
612572
RAILROAD MEDICARE
TX
Enumeration date
02/27/2007
Last updated
01/05/2010
Update your record
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