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:
Authorized official contact:
Name: Pendleton, Russell Olin Doctor of Podiatric Medicine (DPM)
Phone: (817) 238-8400
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568783553 | NPPES |
| Texas | Other | 0029WA | BCBS TX |
| Texas | MEDICAID | 218408702 | BCBS TX |
| Texas | MEDICAID | 218408703 | BCBS TX |
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