Total Foot And Ankle Llc | |
6300 W Parker Rd Ste 425, Plano, TX 75093-8104 | |
(972) 942-8080 | |
(972) 759-9083 |
Full Name | Total Foot And Ankle Llc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 6300 W Parker Rd Ste 425, Plano, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003467770 | NPI | - | NPPES |
4122517 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | John M Baca |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487919288 PECOS PAC ID: 2769794965 Enrollment ID: I20160808001707 |
Mailing Address | Practice Location Address |
---|---|
Total Foot And Ankle Llc 6300 W Parker Rd Ste 425, Plano, TX 75093-8104 Ph: (972) 942-8080 | Total Foot And Ankle Llc 6300 W Parker Rd Ste 425, Plano, TX 75093-8104 Ph: (972) 942-8080 |
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