| |
887 Hwy 84 West, Teague, TX 75860 | |
(800) 957-9971 | |
(888) 878-2856 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 887 Hwy 84 West, Teague, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063659399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 1771 (Texas) | Primary |
Mailing Address | Practice Location Address |
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Po Box 496, Hubbard, TX 76648-0496 Ph: (800) 957-9971 | 887 Hwy 84 West, Teague, TX 75860 Ph: (800) 957-9971 |