Provider Demographics
NPI:1801394192
Name:ENGLISH, VANESSA (DPM)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 BUNTON CREEK RD
Mailing Address - Street 2:STE 300
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-5701
Mailing Address - Country:US
Mailing Address - Phone:512-268-3668
Mailing Address - Fax:512-268-5785
Practice Address - Street 1:201 COLONNADE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6174
Practice Address - Country:US
Practice Address - Phone:254-776-6995
Practice Address - Fax:254-776-5577
Is Sole Proprietor?:No
Enumeration Date:2018-02-01
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3029213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery