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CENTRAL TEXAS FOOT SPECIALIST PA NPI 1689818684


NPI Information

NPI: 1689818684
Provider Name: CENTRAL TEXAS FOOT SPECIALIST PA
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3316 WILLIAMS DR STE 120
GEORGETOWN, TX
ZIP 78628
Phone: (512) 819-4555
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CENTRAL TEXAS FOOT SPECIALIST PA is a podiatrist in Georgetown, 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. CENTRAL TEXAS FOOT SPECIALIST PA NPI is 1689818684. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3316 WILLIAMS DR STE 120
GEORGETOWN, TX
ZIP 78628-891
Phone: (512) 819-4555

The provider's authorized official is Renee Kukla Pietzsch .
The authorized official title is President and has the following contact phone number (512) 819-4555.

The enumeration date for this NPI number is 4/22/2009 and was last updated on 10/5/2009.


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
1213E00000XPodiatrist1667TEXASYes

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
18F21698MEDICARE PINTEXAS
26257000001MEDICARE NSCTEXAS
30A4523MEDICARE 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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