Provider Demographics
NPI:1225207848
Name:FRANCHISEE OF FOOT SOLUTIONS
Entity Type:Organization
Organization Name:FRANCHISEE OF FOOT SOLUTIONS
Other - Org Name:FOOT SOLUTIONS PLANO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-321-5928
Mailing Address - Street 1:1600 EAGLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-3040
Mailing Address - Country:US
Mailing Address - Phone:972-473-7249
Mailing Address - Fax:972-473-7630
Practice Address - Street 1:2100 DALLAS PKWY
Practice Address - Street 2:SUITE 140
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4363
Practice Address - Country:US
Practice Address - Phone:972-473-7249
Practice Address - Fax:972-473-7630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0079577335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0079577OtherSTATE LICSNSE
TX5292770001Medicare NSC