Organization Name: | METROPLEX FOOT AND ANKLE CENTER, PLLC |
NPI Number: | 1174781876 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN G LUND (PARTNER) |
Mailing Address: | 4375 Booth Calloway Rd Suite 501 North Richland Hills |
State: | TX US |
Postal Code: | 761808359 |
Phone Number: | 8175951310 |
Fax Number: | 8175951321 |
NPI Enumeration Date: | 05/29/2008 |
NPI Last Update Date: | 09/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |