| Celina Total Foot Care Pllc | |
|
205 S Preston Rd Ste 110, Celina, TX 75009-3417 | |
| (972) 382-8922 | |
| (972) 382-8568 |
| Full Name | Celina Total Foot Care Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 205 S Preston Rd Ste 110, Celina, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699105213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2001 (Texas) | Primary |
| Provider Name | Harold Shane Brown |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962635185 PECOS PAC ID: 8123294923 Enrollment ID: I20120820000801 |
| Mailing Address | Practice Location Address |
|---|---|
| Celina Total Foot Care Pllc 205 S Preston Rd Ste 105, Celina, TX 75009-4074 Ph: (972) 382-8922 | Celina Total Foot Care Pllc 205 S Preston Rd Ste 110, Celina, TX 75009-3417 Ph: (972) 382-8922 |
Mohammad Raza Khan, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 205 S Preston Rd Ste 110, Celina, TX 75009 Phone: 972-543-8404 | |
Dr. Harold Shane Brown, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 205 S Preston Rd Ste 110, Celina, TX 75009 Phone: 972-382-8922 Fax: 972-382-8568 |