Provider Demographics
NPI:1811219330
Name:PODIATRIC MEDICAL PARTNERS OF TEXAS, PA
Entity Type:Organization
Organization Name:PODIATRIC MEDICAL PARTNERS OF TEXAS, PA
Other - Org Name:SOUTHWEST PODIATRY, LLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GALPERIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:214-330-9299
Mailing Address - Street 1:801 N ZANG BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4858
Mailing Address - Country:US
Mailing Address - Phone:214-330-9299
Mailing Address - Fax:866-846-5648
Practice Address - Street 1:3108 MIDWAY RD STE 104
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8485
Practice Address - Country:US
Practice Address - Phone:972-378-0740
Practice Address - Fax:321-256-2966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-25
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6343320006Medicare NSC