Corsicana Foot Clinic

LBN: Jeffrey Petty, Dpm, Pa
Corsicana Foot Clinic is an health care organization with primary practice located at 3229 W 7Th Ave , Corsicana TX 75110-4817. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Jeffrey Petty, Dpm, Pa can be contacted via phone (903) 872-9910, or through Petty, Jeffrey Scott via phone (903) 872-9910.

Contact Information

Primary practice address
3229 W 7Th Ave Corsicana TX 75110-4817
Phone: (903) 872-9910
Fax: (903) 874-8829
Website:
Map and Directions
Authorized official contact:
Name: Petty, Jeffrey Scott Doctor of Podiatric Medicine (DPM)
Phone: (903) 872-9910

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1499 Texas

Profile Details

NPI number 1982628533
LBN Legal business name Jeffrey Petty, Dpm, Pa
DBA Doing business as Corsicana Foot Clinic
Authorized official Petty, Jeffrey Scott Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 21st, 2015 - about 10 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 1982628533 NPPES
Texas MEDICAID 183236201
Texas MEDICAID 018605801
Texas Other DF1159

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