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:
Map and Directions
Authorized official contact:
Name: Couch, Heather Ann Doctor of Podiatric Medicine (DPM)
Phone: (623) 322-5501

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861508541 NPPES
Arizona Other DD0997 RAILROAD MEDICARE
Arizona Other Z78990 RAILROAD MEDICARE

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