Organization Name: | TOE-TAL FOOT & ANKLE CARE, PA |
NPI Number: | 1174997027 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL CAIRNS (PRESIDENT) |
Mailing Address: | 6900 Denton Hwy Suite 111 Watauga |
State: | TX US |
Postal Code: | 761481918 |
Phone Number: | 8176560303 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2015 |
NPI Last Update Date: | 11/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 2152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |