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Southwest Austin Foot & Ankle Clinic

Podiatrist, Primary Podiatric Medicine in Dripping Springs, TX. Organization (NPI-2).

NPI number1023513751
StatusActive
Last updated in NPPESMar 26, 2018

Details

NPI
1023513751
Entity type
Organization (NPI-2)
Legal business name
Southwest Austin Foot & Ankle Clinic
Organization subpart
No
Enumeration date
Mar 26, 2018
Last updated
Mar 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213EP1101X Podiatrist, Primary Podiatric Medicine––Yes

Practice location

170 Benney Lane Ste 100
Dripping Springs, TX 78620

Phone 512-447-4122 · Fax 512-727-0505

Mailing address

5625 Eiger Rd Ste 110
Austin, TX 78735-8978

Phone 512-447-4122 · Fax 512-727-0505

Authorized official

Mark Dee Whitesides
Owner
5124474122

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