Derek Ley, DPM | |
12221 N Mopac Expy, Austin, TX 78758-2401 | |
(512) 901-4015 | |
(512) 901-3935 |
Full Name | Derek Ley |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 8 Years |
Location | 12221 N Mopac Expy, Austin, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992157788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 3122 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Austin Medical Center | Austin, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Austin Diagnostic Clinic, Pllc | 1254244551 | 88 |
Provider Name | The Austin Diagnostic Clinic, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003259763 PECOS PAC ID: 1254244551 Enrollment ID: O20031112000236 |
Mailing Address | Practice Location Address |
---|---|
Derek Ley, DPM 12221 N Mopac Expy, Austin, TX 78758-2483 Ph: (512) 901-4937 | Derek Ley, DPM 12221 N Mopac Expy, Austin, TX 78758-2401 Ph: (512) 901-4015 |
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