MEDICARE: DR. FRED ARNOLD STERNBERG D.P.M.

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	213E00000X	Podiatrist	TX0516	TX

General Provider Information

NPI Number	:	1053365775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRED ARNOLD STERNBERG D.P.M.

Provider Business Mailing Address
First Line	:	2100 VIRGINIA DR. SUITE A
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75051-3767
Country	:	US
Telephone Number	:	972-264-3431
Fax Number	:	972-642-4384

Provider Business Practice Location Address
First Line	:	2100 VIRGINIA ST
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75051-3767
Country	:	US
Telephone Number	:	972-264-3431
Fax Number	:	972-642-4384

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. FRED ARNOLD STERNBERG D.P.M.” Practice Location

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