Individual provider · Type 1 NPI
Russell Pendleton, DPM
Foot & Ankle Surgery Podiatrist · Lake Worth, TX
NPI number
1932356789
Active
Practice location
6312 Azle Ave
Lake Worth, TX 76135-2442
Fax (817) 238-8401
Other practice locations
- 101 Crown Pointe Blvd Ste 240, Willow Park, TX 76087-1192 · (817) 400-2004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 1916 (TX) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot & ankle surgery podiatrist providers in Lake Worth
About NPI 1932356789
Russell Pendleton, DPM's National Provider Identifier is 1932356789, issued on Aug 23, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lake Worth, TX. The record was last updated on Nov 28, 2023.