Organization · NPI-2
Academy Foot & Ankle Specialists At Argyle
Podiatrist, Primary Podiatric Medicine · Argyle, TX
NPI number1124610142
StatusActive
Last updated in NPPESFeb 10, 2021
Details
- NPI
- 1124610142
- Entity type
- Organization (NPI-2)
- Legal business name
- Academy Foot & Ankle Specialists At Argyle
- Organization subpart
- Yes
- Enumeration date
- Feb 10, 2021
- Certification date
- Feb 10, 2021
- Last updated
- Feb 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | – | – | Yes |
| 207XX0004X | Orthopaedic Surgery, Foot and Ankle Surgery | – | – | |
| 213ER0200X | Podiatrist, Radiology | – | – | |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | |
| 213ES0131X | – | – | ||
| 261QP1100X | Clinic/Center, Podiatric | – | – |
Practice location
7226 Crawford Rd Ste 100Argyle, TX 76226-2675
Phone 817-424-3668 · Fax 817-442-8637
Mailing address
1940 E State Highway 114 Ste 150Southlake, TX 76092-6526
Phone 817-424-3668
Authorized official
Paul Marciano
President
8174243668
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.