| Active Life Foot And Ankle Of Texas | |
|
3061 W Southlake Blvd Ste 120, Southlake, TX 76092-0309 | |
| (817) 627-8271 | |
| Not Available |
| Full Name | Active Life Foot And Ankle Of Texas |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 3061 W Southlake Blvd Ste 120, Southlake, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932050051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Active Life Foot And Ankle Of Texas 3061 W Southlake Blvd, Southlake, TX 76092-0311 Ph: (817) 546-8250 | Active Life Foot And Ankle Of Texas 3061 W Southlake Blvd Ste 120, Southlake, TX 76092-0309 Ph: (817) 627-8271 |
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 | |
Academy Foot & Ankle Specialists, P.a. Podiatrist Medicare: Medicare Enrolled Practice Location: 1940 Highway 114, Ste 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
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. Daniel Joshua Cairns, 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: Accepting Medicare Assignments 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 |