Provider Demographics
NPI:1689374399
Name:BALANCE FOOT & ANKLE SPECIALISTS PLLC
Entity Type:Organization
Organization Name:BALANCE FOOT & ANKLE SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:SAIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARDAR
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:469-498-3668
Mailing Address - Street 1:3311 YUCCA DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-2743
Mailing Address - Country:US
Mailing Address - Phone:469-498-3668
Mailing Address - Fax:469-498-3660
Practice Address - Street 1:3311 YUCCA DR STE 100
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2743
Practice Address - Country:US
Practice Address - Phone:469-498-3668
Practice Address - Fax:469-498-3660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-09
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty