| Organization Name: | COMPASSIONATE FOOT CARE CLINIC, PA |
| NPI Number: | 1033367669 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMELIA ABRAMS (PODIATRIST) |
| Mailing Address: | 2776 Bay Shore Ln Grand Prairie |
| State: | TX US |
| Postal Code: | 750547255 |
| Phone Number: | 8179483576 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2008 |
| NPI Last Update Date: | 06/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 1848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |