Provider Demographics
NPI:1174827513
Name:STONEBRIDGE FOOT & ANKLE, P.L.L.C.
Entity Type:Organization
Organization Name:STONEBRIDGE FOOT & ANKLE, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:972-540-0006
Mailing Address - Street 1:175 RIDGE RD
Mailing Address - Street 2:STE. 800
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5397
Mailing Address - Country:US
Mailing Address - Phone:972-540-0006
Mailing Address - Fax:972-984-1102
Practice Address - Street 1:175 RIDGE RD
Practice Address - Street 2:STE. 800
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5397
Practice Address - Country:US
Practice Address - Phone:972-540-0006
Practice Address - Fax:972-984-1102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-28
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1896213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7104570001Medicare NSC