PRYME FOOT & ANKLE CENTER PLLC NPI 1154844348

NPI Information

NPI: 1154844348
Provider Name: PRYME FOOT & ANKLE CENTER PLLC
Classification: Clinic/Center - 261QP1100X
Specialization: Podiatric
Entity Type: Organization
Address: 1759 BROAD PARK CIR S #205
MANSFIELD, TX
ZIP 76063
Phone: (682) 223-2400

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NPI Details

PRYME FOOT & ANKLE CENTER PLLC is a podiatric clinic center in Mansfield, TX. PRYME FOOT & ANKLE CENTER PLLC NPI is 1154844348. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1759 BROAD PARK CIR S #205
MANSFIELD, TX
ZIP 76063-834
Phone: (682) 223-2400
Fax: (682) 334-7061

The provider's authorized official is Randy Hamilton .
The authorized official title is Owner and has the following contact phone number (682) 223-2400.

The enumeration date for this NPI number is 7/20/2017 and was last updated on 1/31/2018.

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	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	No
2	213ES0131X	Podiatrist	Foot Surgery	No
3	261QP1100X	Clinic/Center	Podiatric	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	811363748	OTHER		TAX ID

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: 11/21/2025

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