| Organization Name: | COMPLETE FOOT AND ANKLE CARE OF NORTH TEXAS, PA |
| NPI Number: | 1003930231 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATINA BUTLER (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 3319 Unicorn Lake Blvd Suite 111 Denton |
| State: | TX US |
| Postal Code: | 762100121 |
| Phone Number: | 9403003054 |
| Fax Number: | 9402437780 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 05/26/2016 |
| 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: | |