Provider Demographics
NPI:1619989878
Name:ARLINGTON FAMILY FOOT CARE PA
Entity Type:Organization
Organization Name:ARLINGTON FAMILY FOOT CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THU
Authorized Official - Middle Name:CAO
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:817-831-7800
Mailing Address - Street 1:1617 N BEACH ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76111-6617
Mailing Address - Country:US
Mailing Address - Phone:817-831-7800
Mailing Address - Fax:817-831-7303
Practice Address - Street 1:1617 N BEACH ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76111-6617
Practice Address - Country:US
Practice Address - Phone:817-831-7800
Practice Address - Fax:817-831-7303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX205189801Medicaid
TX00W838Medicare PIN
TX5608980001Medicare NSC