| Organization Name: | PODIATRIC MEDICAL PARTNERS OF TEXAS, PA |
| NPI Number: | 1023330651 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAY LIFSHEN (PRESIDENT) |
| Mailing Address: | 4333 N Josey Ln Ste 102 Carrollton |
| State: | TX US |
| Postal Code: | 750104620 |
| Phone Number: | 9723940825 |
| Fax Number: | 3212562966 |
| NPI Enumeration Date: | 02/24/2010 |
| NPI Last Update Date: | 09/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |