| |
514 S Bonham St Ste D, Mexia, TX 76667-3664 | |
(254) 523-4803 | |
(855) 874-7393 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 514 S Bonham St Ste D, Mexia, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144793621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
801 N Zang Blvd Ste 103, Dallas, TX 75208-4858 Ph: (214) 330-9299 | 514 S Bonham St Ste D, Mexia, TX 76667-3664 Ph: (254) 523-4803 |