| Premier Podiatry, Pllc. | |
|
4422 Pack Saddle Pass, Austin, TX 78745-1681 | |
| (814) 636-7736 | |
| Not Available |
| Full Name | Premier Podiatry, Pllc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 4422 Pack Saddle Pass, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225761166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Jeffrey D'alessandro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275061954 PECOS PAC ID: 2062834393 Enrollment ID: I20220521000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Podiatry, Pllc. 4422 Pack Saddle Pass, Austin, TX 78745-1681 Ph: (814) 636-7736 | Premier Podiatry, Pllc. 4422 Pack Saddle Pass, Austin, TX 78745-1681 Ph: (814) 636-7736 |
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