MEDICARE: WATER OAK FOOT AND ANKLE SURGERY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP1100X	Podiatric Clinic/Center
2	213ES0103X	Foot & Ankle Surgery Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8LA099	OTHER	TX	BCBS REGISTERED ID
2	8LA098	OTHER	TX	BCBS REGISTERED ID

General Provider Information

NPI Number	:	1013582030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WATER OAK FOOT AND ANKLE SURGERY

Provider Business Mailing Address
First Line	:	2270 MATLOCK RD STE 104
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-3710
Country	:	US
Telephone Number	:	325-480-2063
Fax Number	:	702-514-6292

Provider Business Practice Location Address
First Line	:	2270 MATLOCK RD STE 104
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-3710
Country	:	US
Telephone Number	:	325-480-2063
Fax Number	:	702-514-6292

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MATTHEW MCCABE
Credential	:	DPM
Telephone Number	:	325-480-2063

Provider Enumeration Date	:	05/21/2021
Last Update Date	:	12/12/2022

Similar Medicare Providers

1982347514 — CARMEN JANEAN SALONE NP
Practice Location Address:

2270 MATLOCK RD STE 104
MANSFIELD, TX
76063-3710

Practice Phone: 682-400-8613
Practice Fax: 682-400-8242

1518079896 — JESSIE L ANDREWS D.D.S.
Practice Location Address:

2270 MATLOCK RD STE 102
MANSFIELD, TX
76063-3710

Practice Phone: 817-477-0994
Practice Fax: 817-453-5450

1093308983 — WATER OAK FOOT AND ANKLE SURGERY
Practice Location Address:

2270 MATLOCK RD STE 104
MANSFIELD, TX
76063-3710

Practice Phone: 325-480-2063
Practice Fax: 702-514-6292

1376217893 — WATER OAK FOOT AND ANKLE SURGERY
Practice Location Address:

2270 MATLOCK RD STE 104
MANSFIELD, TX
76063-3710

Practice Phone: 325-480-2063
Practice Fax: 702-514-6292

1295686764 — PRITHVI INC
Practice Location Address:

2270 MATLOCK RD STE 104
MANSFIELD, TX
76063-3710

Practice Phone: 214-549-2482
Practice Fax:

1154844348 — PRYME FOOT & ANKLE CENTER PLLC
Practice Location Address:

1759 BROAD PARK CIR S #205
MANSFIELD, TX
76063-7834

Practice Phone: 682-223-2400
Practice Fax: 682-334-7061

Directions to “WATER OAK FOOT AND ANKLE SURGERY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.