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FUSION FOOT AND ANKLE PLLC NPI 1659865806


NPI Information

NPI: 1659865806
Provider Name: FUSION FOOT AND ANKLE, PLLC

Doing Business As: FUSION FOOT AND ANKLE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
8751 CAMP BOWIE WEST BLVD STE 123
FORT WORTH, TX
ZIP 76116
Phone: (817) 494-0566
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FUSION FOOT AND ANKLE, PLLC is a foot and ankle surgery podiatrist in Fort Worth, TX. FUSION FOOT AND ANKLE, PLLC NPI is 1659865806. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Fusion Foot And Ankle.

The provider's business location address is:

8751 CAMP BOWIE WEST BLVD STE 123
FORT WORTH, TX
ZIP 76116-100
Phone: (817) 494-0566
Fax: (817) 612-3157

The provider's authorized official is Moody M Mankerious .
The authorized official title is Owner and has the following contact phone number (817) 494-0566.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 1/10/2022.


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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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

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