Provider Demographics
NPI:1982752556
Name:GOLDEN TRIANGLE FOOT & ANKLE SPECIALISTS, P.A.
Entity Type:Organization
Organization Name:GOLDEN TRIANGLE FOOT & ANKLE SPECIALISTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-899-1538
Mailing Address - Street 1:6260 DELAWARE ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-7602
Mailing Address - Country:US
Mailing Address - Phone:409-899-1538
Mailing Address - Fax:409-899-2120
Practice Address - Street 1:6260 DELAWARE ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-7602
Practice Address - Country:US
Practice Address - Phone:409-899-1538
Practice Address - Fax:409-899-2120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX041086202Medicaid
TX127190006Medicaid
TXCI8339OtherRAILROAD MEDICARE
TX127190006Medicaid
TXT90594Medicare UPIN
TX82961JMedicare ID - Type Unspecified
TX041086202Medicaid
TXT78939Medicare UPIN
TX1082020001Medicare NSC