Organization · Type 2 NPI
Divine Footcare Center Inc
Foot & Ankle Surgery Podiatrist · Irving, TX
NPI number
1104150556
Active
Practice location
2000 Esters Rd Ste 104, Suite 104
Irving, TX 75061-9580
Fax (972) 790-2803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 1903 (TX) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1104150556
Divine Footcare Center Inc's National Provider Identifier is 1104150556, issued on Oct 1, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Irving, TX. The record was last updated on Jan 7, 2013.