SOUTHWEST AUSTIN FOOT & ANKLE CLINIC PLLC NPI 1740769819

NPI Information

SOUTHWEST AUSTIN FOOT & ANKLE CLINIC, PLLC is a primary podiatric medicine podiatrist in Austin, TX. SOUTHWEST AUSTIN FOOT & ANKLE CLINIC, PLLC NPI is 1740769819. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5625 EIGER RD STE 110
AUSTIN, TX
ZIP 78735-978
Phone: (512) 447-4122
Fax: (512) 727-0505

The provider's authorized official is Mark Dee Whitesides .
The authorized official title is Owner and has the following contact phone number (512) 789-1190.

The enumeration date for this NPI number is 8/9/2018 and was last updated on 8/9/2018.

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:

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