| |
2300 W Fm 544, Suite 230, Wylie, TX 75098-4931 | |
(972) 288-7441 | |
(972) 289-8025 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 2300 W Fm 544, Wylie, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851793509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
801 N Zang Blvd Ste 103, Dallas, TX 75208-4858 Ph: (214) 330-9299 | 2300 W Fm 544, Suite 230, Wylie, TX 75098-4931 Ph: (972) 288-7441 |