Organization
HAPPY FEET THERAPEUTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA ANN LEOS GONZALES CFTS (OWNER)
(972) 262-0533
Entity
Organization
Contact information
Practice address
605 E. MAIN ST, GRAND PRAIRIE, TX 75050
(972) 262-0533
(877) 362-9841
Mailing address
605 E. MAIN ST, GRAND PRAIRIE, TX 75050
(972) 262-0533
(877) 362-9841
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287982702
—
TX
Enumeration date
11/04/2010
Last updated
01/22/2013
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