| Fas Of Tw Llc | |
|
9191 Pinecroft Dr Ste 100, Shenandoah, TX 77380-2797 | |
| (346) 590-2730 | |
| Not Available |
| Full Name | Fas Of Tw Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 9191 Pinecroft Dr Ste 100, Shenandoah, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942011986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| 261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Secondary |
| Provider Name | Marcin Noble Vaclaw |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245544691 PECOS PAC ID: 3779727359 Enrollment ID: I20131123000012 |
| Provider Name | Brian Jacob Conley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932453917 PECOS PAC ID: 8527370881 Enrollment ID: I20150630001496 |
| Provider Name | Clayton Ross Toole |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750764213 PECOS PAC ID: 1456606094 Enrollment ID: I20180621002245 |
| Provider Name | Anum Karim Dhukani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316468564 PECOS PAC ID: 8426470188 Enrollment ID: I20200625001404 |
| Provider Name | Barton C Garcia |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508387549 PECOS PAC ID: 8123441243 Enrollment ID: I20200708002251 |
| Provider Name | Cece S Honculada |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831611656 PECOS PAC ID: 8921428459 Enrollment ID: I20201021002148 |
| Provider Name | Trent Lamar Monson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356862353 PECOS PAC ID: 0446670749 Enrollment ID: I20201026000155 |
| Provider Name | Veronika Boulantsova |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235699844 PECOS PAC ID: 5799162707 Enrollment ID: I20220512002558 |
| Provider Name | Bruce Samuel Kroeker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740849140 PECOS PAC ID: 1355726357 Enrollment ID: I20220912001685 |
| Provider Name | Ernest Sorenson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679990634 PECOS PAC ID: 6305063041 Enrollment ID: I20230512000541 |
| Provider Name | Laura Tolentino |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588125512 PECOS PAC ID: 4284014515 Enrollment ID: I20231027001563 |
| Provider Name | Brady Hogan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730753963 PECOS PAC ID: 8426597519 Enrollment ID: I20240904000028 |
| Provider Name | Chance Smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932783180 PECOS PAC ID: 7315479839 Enrollment ID: I20241022001406 |
| Mailing Address | Practice Location Address |
|---|---|
| Fas Of Tw Llc 434 W Ascension Way Ste 425, Murray, UT 84123-3102 Ph: (801) 292-4425 | Fas Of Tw Llc 9191 Pinecroft Dr Ste 100, Shenandoah, TX 77380-2797 Ph: (346) 590-2730 |
Sarah Thomas Sykes, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1120 Medical Plaza Dr Ste 180, Shenandoah, TX 77380 Phone: 281-364-9041 Fax: 713-657-7234 | |
Dr. Eric R Blanson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 128 Vision Park Blvd Ste 135, Shenandoah, TX 77384 Phone: 832-585-1620 Fax: 855-787-3211 | |
Veronika Boulantsova, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9191 Pinecroft Dr Ste 100, Shenandoah, TX 77380 Phone: 281-909-7722 | |
Hemali Haresh Patel, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 134 Vision Park Blvd Ste 100, Shenandoah, TX 77384 Phone: 936-242-1437 Fax: 936-447-9672 | |
Dr. Shiloh Rose Thoman, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 1120 Medical Plaza Dr Ste 180, Shenandoah, TX 77380 Phone: 281-364-9041 | |
Trent Lamar Monson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9191 Pinecroft Dr Ste 100, Shenandoah, TX 77380 Phone: 281-909-7722 Fax: 281-909-7733 | |
Stacey Curry, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1120 Medical Plaza Dr Ste 180, Shenandoah, TX 77380 Phone: 281-364-9041 |