Achilles Foot And Ankle Specialist PLLC
Podiatrist, Foot & Ankle Surgery in Henderson, NV. Organization (NPI-2).
NPI number1003166455
StatusActive
Last updated in NPPESSep 18, 2012
Details
- NPI
- 1003166455
- Entity type
- Organization (NPI-2)
- Legal business name
- Achilles Foot And Ankle Specialist PLLC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2012
- Last updated
- Sep 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
Practice location
2865 Siena Heights DrSuite 200
Henderson, NV 89052-4167
Phone 702-824-9655 · Fax 702-889-4213
Mailing address
4131 Directors RowHouston, TX 77092-8703
Phone 713-586-6778
Authorized official
Jo Ann Johnson
Provider Relations Specialist
7135866778
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