Provider Demographics
NPI:1164953170
Name:LAW, RONA WAI YIN (DPM)
Entity Type:Individual
Prefix:DR
First Name:RONA
Middle Name:WAI YIN
Last Name:LAW
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 COLLEGE AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-3051
Mailing Address - Country:US
Mailing Address - Phone:817-697-4038
Mailing Address - Fax:877-409-3962
Practice Address - Street 1:923 COLLEGE AVE STE 101
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-3051
Practice Address - Country:US
Practice Address - Phone:817-697-4038
Practice Address - Fax:877-409-3962
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-22
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC007073213ES0103X
390200000X
TX3116213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program