| Organization Name: | FOOT SPECIALIST OF TRI-COUNTY,P.A. |
| NPI Number: | 1053503482 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LANHOUNG T PHAM (PODIATRIST) |
| Mailing Address: | 719 W Coke Rd Ste 4 Winnsboro |
| State: | TX US |
| Postal Code: | 754943060 |
| Phone Number: | 9033424182 |
| Fax Number: | 9033424185 |
| NPI Enumeration Date: | 08/09/2007 |
| NPI Last Update Date: | 10/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | 1633P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |