Organization · Type 2 NPI
Modern Podiatry, LLC
Foot & Ankle Surgery Podiatrist · Frisco, TX
NPI number
1629699798
Active
Practice location
255 W Lebanon Ste 202
Frisco, TX 75036-3411
Mailing address
5729 Lebanon Rd Ste 144328
Frisco, TX 75034-7260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1629699798
Modern Podiatry, LLC's National Provider Identifier is 1629699798, issued on Apr 30, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Frisco, TX. The record was last updated on Sep 2, 2021.