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GULF COAST FOOT CLINIC PA NPI 1710181011


NPI Information

NPI: 1710181011
Provider Name: GULF COAST FOOT CLINIC PA
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
815 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979
Phone: (361) 552-0295
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GULF COAST FOOT CLINIC PA is a podiatrist in Port Lavaca, 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. GULF COAST FOOT CLINIC PA NPI is 1710181011. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

815 N VIRGINIA ST
PORT LAVACA, TX
ZIP 77979-025
Phone: (361) 552-0295
Fax: (361) 582-0615

The provider's authorized official is Richard Steinberg .
The authorized official title is Podiatry and has the following contact phone number (361) 552-0295.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 3/19/2012.


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
1213E00000XPodiatrist1296TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1018809601OTHERTEXASSUPERIOR
2480019673OTHERTEXASMEDICARE RRB
3T95172MEDICARE UPINTEXAS
400R96MMEDICARE PINTEXAS
50036QPOTHERTEXASBLUE CROSS
6018809601MEDICAIDTEXAS

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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