Provider Demographics
NPI:1215187620
Name:TEXAS HOME FOOTCARE ASSOCIATES
Entity Type:Organization
Organization Name:TEXAS HOME FOOTCARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-248-3191
Mailing Address - Street 1:1312 14TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-6206
Mailing Address - Country:US
Mailing Address - Phone:214-210-2911
Mailing Address - Fax:214-210-2209
Practice Address - Street 1:1312 14TH ST STE 101
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6206
Practice Address - Country:US
Practice Address - Phone:214-210-2911
Practice Address - Fax:214-210-2209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty