MAX RIBALD DPM PC NPI 1316104763

NPI Information

NPI: 1316104763
Provider Name: MAX RIBALD DPM, PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
801 ROAD TO SIX FLAGS W STE 150
ARLINGTON, TX
ZIP 76012
Phone: (817) 860-9121
Get Directions

MAX RIBALD DPM, PC is a foot and ankle surgery podiatrist in Arlington, TX. MAX RIBALD DPM, PC NPI is 1316104763. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

801 ROAD TO SIX FLAGS W STE 150
ARLINGTON, TX
ZIP 76012-600
Phone: (817) 860-9121
Fax: (817) 860-9128

The provider's authorized official is Max S Ribald .
The authorized official title is Owner/podiatrist and has the following contact phone number (817) 860-9121.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 11/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	0586	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10028677	MEDICAID	TEXAS
2	00CN37	OTHER	TEXAS	BLUE CROSS
3	00Z587	MEDICARE PIN	TEXAS
4	T15526	MEDICARE UPIN	TEXAS
5	092761802	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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