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LONESTAR FOOT & ANKLE NPI 1124383666


NPI Information

NPI: 1124383666
Provider Name: LONESTAR FOOT & ANKLE
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 45D1097403

Address:
1200 CRAWFORD AVENUE
SUITE C
GRANBURY, TX
ZIP 76048
Phone: (817) 573-3338
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LONESTAR FOOT & ANKLE is a podiatrist in Granbury, 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. LONESTAR FOOT & ANKLE NPI is 1124383666. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 CRAWFORD AVENUE
SUITE C
GRANBURY, TX
ZIP 76048-267
Phone: (817) 573-3338
Fax: (817) 573-3368

The provider's authorized official is Jayme R Cornwell .
The authorized official title is Owner and has the following contact phone number (817) 573-3338.

The CLIA number assigned to this NPI record is 45D1097403 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2012 and was last updated on 8/6/2013.


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
1213E00000XPodiatrist1949TEXASYes

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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