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750 Fish Creek Thoroughfare Ste 190, Montgomery, TX 77316-6966 | |
(936) 537-5714 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Podiatric |
Location | 750 Fish Creek Thoroughfare Ste 190, Montgomery, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1194435941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Primary |
Provider Name | Ginger Ann Sellars |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942593777 PECOS PAC ID: 4486820529 Enrollment ID: I20111220000638 |
Mailing Address | Practice Location Address |
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242 Overland Trce, Montgomery, TX 77316-6401 Ph: (936) 537-5714 | 750 Fish Creek Thoroughfare Ste 190, Montgomery, TX 77316-6966 Ph: (936) 537-5714 |