Provider Demographics
NPI:1518597343
Name:DENTON FOOT AND ANKLE SURGICAL SPECIALISTS PLLC
Entity Type:Organization
Organization Name:DENTON FOOT AND ANKLE SURGICAL SPECIALISTS PLLC
Other - Org Name:DENTON FOOT AND ANKLE SURGICAL SPECIALIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:RENAYE
Authorized Official - Last Name:RICHEY-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:214-215-4764
Mailing Address - Street 1:3504 CORINTH PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76208-1316
Mailing Address - Country:US
Mailing Address - Phone:940-268-3839
Mailing Address - Fax:
Practice Address - Street 1:3504 CORINTH PKWY STE 150
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76208-1316
Practice Address - Country:US
Practice Address - Phone:214-215-4764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty