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

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed
Podiatric Clinic/Center 261QP1100XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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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.