Organization Name: | CAPITAL FOOT & ANKLE SURGEONS OF AUSTIN, PLLC |
NPI Number: | 1003147356 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN WALTERS (PRESIDENT) |
Mailing Address: | 900 E 30th St 311 Austin |
State: | TX US |
Postal Code: | 787053326 |
Phone Number: | 5124746666 |
Fax Number: | 5124746668 |
NPI Enumeration Date: | 01/27/2010 |
NPI Last Update Date: | 08/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |