Academy Foot & Ankle Specialists, P.a. | |
1940 Highway 114, Ste 150, Southlake, TX 76092-6526 | |
(817) 424-3668 | |
(817) 442-8637 |
Full Name | Academy Foot & Ankle Specialists, P.a. |
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Type | Facility |
Speciality | Podiatrist |
Location | 1940 Highway 114, Southlake, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356541346 | NPI | - | NPPES |
1356541346 | Other | TX | GROUP NPI |
U66467 | Other | TX | DR. MARCIANO'S UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 1364 (Texas) | Primary |
Provider Name | Paul T Marciano |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1558321810 PECOS PAC ID: 6002881554 Enrollment ID: I20041104001200 |
Provider Name | Larissa Rolim |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1144678517 PECOS PAC ID: 3072893569 Enrollment ID: I20161129000087 |
Provider Name | Scott B Floyd |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1508249558 PECOS PAC ID: 0446508675 Enrollment ID: I20180806000403 |
Provider Name | Dorian Louis Jimenez |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1952397119 PECOS PAC ID: 3274565866 Enrollment ID: I20190827003605 |
Mailing Address | Practice Location Address |
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Academy Foot & Ankle Specialists, P.a. 1940 E State Hwy 114, Suite 150, Southlake, TX 76092-6526 Ph: (817) 424-3668 | Academy Foot & Ankle Specialists, P.a. 1940 Highway 114, Ste 150, Southlake, TX 76092-6526 Ph: (817) 424-3668 |
Mr. Fahad Aslam, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: Academy Foot & Ankle Specialists, 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Dr. Greg Jack Amelung, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1940 E Highway 114 Ste 150, Southlake, TX 76092 Phone: 817-503-0009 Fax: 817-503-8909 | |
Mr. Daniel Thomas Pierini, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: Academy Foot & Ankle Specialists, 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Mr. Jeremy William Brouillette, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: Academy Foot & Ankle Specialists, 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Mr. Scott Benjamin Floyd, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: Academy Foot & Ankle Specialist, 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Paul Thomas Marciano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1940 E State Highway 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 |