FORT WORTH FOOT AND ANKLE PLLC NPI 1417435082

NPI Information

  • NPI: 1417435082
  • Provider Name: FORT WORTH FOOT AND ANKLE, PLLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 1307 8TH AVE STE 407
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 776-5533

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NPI Details

FORT WORTH FOOT AND ANKLE, PLLC is a foot and ankle surgery podiatrist in Fort Worth, TX. FORT WORTH FOOT AND ANKLE, PLLC NPI is 1417435082. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1307 8TH AVE STE 407
FORT WORTH, TX
ZIP 76104-107
Phone: (817) 776-5533

The provider's authorized official is Brent Banks .
The authorized official title is Owner and has the following contact phone number (713) 417-4396.

The enumeration date for this NPI number is 8/5/2018 and was last updated on 12/27/2021.

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 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: 3/30/2025

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