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FOOT SPECIALISTS OF EL PASO NPI 1356384622


NPI Information

NPI: 1356384622
Provider Name: FOOT SPECIALISTS OF EL PASO

Doing Business As: DR. JUAN A . GONZALEZ D/B/A FOOT SPECIALISTS OF EL PASO

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1501 N MESA ST
SUITE 104
EL PASO, TX
ZIP 79902
Phone: (915) 577-0744
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FOOT SPECIALISTS OF EL PASO is a podiatrist in El Paso, TX. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FOOT SPECIALISTS OF EL PASO NPI is 1356384622. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Juan A . Gonzalez D/b/a Foot Specialists Of El Paso.

The provider's business location address is:

1501 N MESA ST
SUITE 104
EL PASO, TX
ZIP 79902-046
Phone: (915) 577-0744
Fax: (915) 577-0271

The provider's authorized official is Juan A. Gonzalez .
The authorized official title is Podiatrist and has the following contact phone number (915) 577-0744.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 12/16/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist1282TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U55679MEDICARE UPINTEXAS
20059AHMEDICARE ID-TYPE UNSPECIFIED
35942270001MEDICARE NSC
4Z00059AH7MEDICAIDTEXAS

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: 4/28/2024

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