Provider Demographics
NPI:1144793621
Name:PODIATRIC MEDICAL PARTNERS OF TEXAS PA
Entity Type:Organization
Organization Name:PODIATRIC MEDICAL PARTNERS OF TEXAS PA
Other - Org Name:FAMILY FOOT AND ANKLE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GALPERIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:214-330-9299
Mailing Address - Street 1:801 N ZANG BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4858
Mailing Address - Country:US
Mailing Address - Phone:214-330-9299
Mailing Address - Fax:866-846-5648
Practice Address - Street 1:514 S BONHAM ST STE D
Practice Address - Street 2:
Practice Address - City:MEXIA
Practice Address - State:TX
Practice Address - Zip Code:76667-3664
Practice Address - Country:US
Practice Address - Phone:254-523-4803
Practice Address - Fax:855-874-7393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-07
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty