Provider Demographics
NPI:1235862061
Name:MOTION FOOT & ANKLE INSTITUTE, PLLC
Entity Type:Organization
Organization Name:MOTION FOOT & ANKLE INSTITUTE, PLLC
Other - Org Name:MOTION FOOT & ANKLE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BASATNEH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:469-531-0018
Mailing Address - Street 1:1320 N GALLOWAY AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-2461
Mailing Address - Country:US
Mailing Address - Phone:214-550-2099
Mailing Address - Fax:214-550-2099
Practice Address - Street 1:1320 N GALLOWAY AVE STE 105
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-2461
Practice Address - Country:US
Practice Address - Phone:214-550-2099
Practice Address - Fax:214-550-2099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3136OtherSTATE LICENSE