Provider Demographics
NPI:1922431188
Name:HASMUKH, NEETA (DPM)
Entity Type:Individual
Prefix:
First Name:NEETA
Middle Name:
Last Name:HASMUKH
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:PO BOX 100424
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-1724
Mailing Address - Country:US
Mailing Address - Phone:210-643-6798
Mailing Address - Fax:210-941-0070
Practice Address - Street 1:7333 BARLITE BLVD STE 310
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1324
Practice Address - Country:US
Practice Address - Phone:210-643-6798
Practice Address - Fax:210-941-0070
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2090213ES0103X, 213E00000X
NYN006582-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery