Organization · Type 2 NPI
Fas of TW LLC
Foot & Ankle Surgery Podiatrist · Shenandoah, TX
NPI number
1942011986
Active
Practice location
9191 Pinecroft Dr Ste 100
Shenandoah, TX 77380-2797
Mailing address
434 W Ascension Way Ste 425
Murray, UT 84123-3102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
| Podiatric Clinic/Center | 261QP1100X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
Other foot & ankle surgery podiatrist providers in Shenandoah
About NPI 1942011986
Fas of TW LLC's National Provider Identifier is 1942011986, issued on Jan 17, 2025. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Shenandoah, TX. The record was last updated on Oct 14, 2025.