Advanced Foot And Ankle Associates Pllc

LBN: Advanced Foot And Ankle Associates Pllc
Advanced Foot And Ankle Associates Pllc is an health care organization with primary practice located at 6312 Azle Ave , Lake Worth TX 76135-2442. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Advanced Foot And Ankle Associates Pllc can be contacted via phone (817) 238-8400, or through Pendleton, Russell Olin via phone (817) 238-8400.

Contact Information

Primary practice address
6312 Azle Ave Lake Worth TX 76135-2442
Phone: (817) 238-8400
Fax: (817) 238-8401
Website:
Map and Directions
Authorized official contact:
Name: Pendleton, Russell Olin Doctor of Podiatric Medicine (DPM)
Phone: (817) 238-8400

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1916 Texas

Profile Details

NPI number 1568783553
LBN Legal business name Advanced Foot And Ankle Associates Pllc
DBA Doing business as
Authorized official Pendleton, Russell Olin Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2010
Last updated Nov 28th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568783553 NPPES
Texas Other 0029WA BCBS TX
Texas MEDICAID 218408702 BCBS TX
Texas MEDICAID 218408703 BCBS TX

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