Organization Name: | INFINITY FOOT AND ANKLE, PA |
NPI Number: | 1073840161 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PARUL KIRIT PATEL (OWNER) |
Mailing Address: | 1801 N Hampton Rd #340 Desoto |
State: | TX US |
Postal Code: | 751152391 |
Phone Number: | 9722745708 |
Fax Number: | 9722741471 |
NPI Enumeration Date: | 11/10/2009 |
NPI Last Update Date: | 09/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 1652 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |