| Organization Name: | PODIATRY OF CENTRAL TEXAS PA |
| NPI Number: | 1174538623 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRIAN DAVID BATTLES (PRESIDENT) |
| Mailing Address: | 701 Mcclintic Dr Groesbeck |
| State: | TX US |
| Postal Code: | 766422128 |
| Phone Number: | 8009579971 |
| Fax Number: | 8888782856 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 03/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 1771 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |