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ACADEMY FOOT AND ANKLE SPECIALISTS AT KELLER PLLC NPI 1346477304


NPI Information

NPI: 1346477304
Provider Name: ACADEMY FOOT AND ANKLE SPECIALISTS AT KELLER PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
4444 HERITAGE TRACE PKWY
SUITE 400
KELLER, TX
ZIP 76244
Phone: (817) 424-3668
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ACADEMY FOOT AND ANKLE SPECIALISTS AT KELLER PLLC is a foot and ankle surgery podiatrist in Keller, TX. ACADEMY FOOT AND ANKLE SPECIALISTS AT KELLER PLLC NPI is 1346477304. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4444 HERITAGE TRACE PKWY
SUITE 400
KELLER, TX
ZIP 76244-378
Phone: (817) 424-3668
Fax: (817) 442-8637

The provider's authorized official is Paul Marciano .
The authorized official title is Owner and has the following contact phone number (817) 424-3668.

The enumeration date for this NPI number is 6/17/2009 and was last updated on 12/12/2016.


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
1213ES0103XPodiatristFoot & Ankle Surgery1364TEXASYes

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
11346477304OTHERNPI
20A5871MEDICARE PINTEXAS

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: 5/5/2024
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