| Organization Name: | FOOT AND ANKLE ASSOCIATES OF NORTH TEXAS, LLP |
| NPI Number: | 1003844176 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI CERAMI (CHIEF OPERATING OFFICER) |
| Mailing Address: | 2421 Ira E Woods Ave Ste 100 Grapevine |
| State: | TX US |
| Postal Code: | 760513906 |
| Phone Number: | 8174166155 |
| Fax Number: | 8173299434 |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 07/13/2015 |
| 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: | |