Provider Demographics
NPI:1952142952
Name:ANKLE AND FOOT SPECIALISTS OF NORTH TEXAS PLLC
Entity type:Organization
Organization Name:ANKLE AND FOOT SPECIALISTS OF NORTH TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:ABIGAIL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM, AACFAS
Authorized Official - Phone:972-207-2852
Mailing Address - Street 1:PO BOX 450541
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75045-0541
Mailing Address - Country:US
Mailing Address - Phone:972-207-2852
Mailing Address - Fax:844-335-0503
Practice Address - Street 1:204 MEDICAL DR STE 100
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-6372
Practice Address - Country:US
Practice Address - Phone:903-484-3668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1184249153OtherNPI
TX1952142952OtherORGANIZATION NPI