Mary C. Manesis, Dpm, Pa
LBN: Healthdrive Podiatry Group, Pa
Mary C. Manesis, Dpm, Pa is an health care organization with primary practice located at 2413 East Loop 820 North , Fort Worth TX 76118-8210. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
Healthdrive Podiatry Group, Pa can be contacted via phone (888) 964-6681, or through Trbovich, Michele L. via phone (857) 255-0486.
Contact Information
Primary practice address
2413 East Loop 820 North
Fort Worth TX 76118-8210
Phone: (888) 964-6681
Fax: (888) 662-0859
Website:
Authorized official contact:
Name: Trbovich, Michele L. Doctor of Podiatric Medicine (DPM)
Phone: (857) 255-0486
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X |
Profile Details
| NPI number | 1518112499 |
|---|---|
| LBN Legal business name | Healthdrive Podiatry Group, Pa |
| DBA Doing business as | Mary C. Manesis, Dpm, Pa |
| Authorized official | Trbovich, Michele L. Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 19th, 2008 |
| Last updated | Jan 2nd, 2020 - about 5 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 | 1518112499 | NPPES |
| Texas | MEDICAID | 201090202 | |
| Texas | Other | DD6485 |
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