Provider Demographics
NPI:1134321417
Name:SOUTHWESTERN FOOT & ANKLE ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:SOUTHWESTERN FOOT & ANKLE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:HUU
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:469-951-6118
Mailing Address - Street 1:7533 TRAILWAY DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-2995
Mailing Address - Country:US
Mailing Address - Phone:972-335-9071
Mailing Address - Fax:972-335-8920
Practice Address - Street 1:3880 PARKWOOD BLVD
Practice Address - Street 2:SUITE 602
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1928
Practice Address - Country:US
Practice Address - Phone:972-335-9071
Practice Address - Fax:972-335-8920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1478213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU71598Medicare UPIN
TX00798EMedicare ID - Type Unspecified