Provider Demographics
NPI:1669493284
Name:LEDGER FOOT & ANKLE, P.A.
Entity Type:Organization
Organization Name:LEDGER FOOT & ANKLE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:H.
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:LEDGER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:254-519-3668
Mailing Address - Street 1:PO BOX 11538
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76547-1538
Mailing Address - Country:US
Mailing Address - Phone:254-245-9177
Mailing Address - Fax:254-245-9178
Practice Address - Street 1:800 W CENTRAL TEXAS EXPY
Practice Address - Street 2:SUITE 155
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1899
Practice Address - Country:US
Practice Address - Phone:254-519-3668
Practice Address - Fax:254-501-3668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2014-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDC0070OtherMEDICARE RAILROAD
TX0066LEOtherBLUE CROSS BLUE SHIELD
TX166302301Medicaid
TX166302301Medicaid
TX00753WMedicare PIN