Agave Foot Specialists, Pllc
LBN: Agave Foot Specialists, Pllc
Agave Foot Specialists, Pllc is an health care organization with primary practice located at 16841 N. 31St Ave. Ste. 134, Phoenix AZ 85053-3051. 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.
Agave Foot Specialists, Pllc can be contacted via phone (623) 322-5501, or through Couch, Heather Ann via phone (623) 322-5501.
Contact Information
Primary practice address
16841 N. 31St Ave. Ste. 134
Phoenix AZ 85053-3051
Phone: (623) 322-5501
Fax: (623) 322-8996
Website:
Authorized official contact:
Name: Couch, Heather Ann Doctor of Podiatric Medicine (DPM)
Phone: (623) 322-5501
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 0552 | Arizona |
Profile Details
| NPI number | 1861508541 |
|---|---|
| LBN Legal business name | Agave Foot Specialists, Pllc |
| DBA Doing business as | |
| Authorized official | Couch, Heather Ann Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Feb 26th, 2008 - about 16 years ago |
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 | 1861508541 | NPPES |
| Arizona | Other | DD0997 | RAILROAD MEDICARE |
| Arizona | Other | Z78990 | RAILROAD MEDICARE |
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