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NPI Code Detail

MEDICARE: METROPLEX FOOT AND ANKLE CENTER, PLLC

MEDICARE: METROPLEX FOOT AND ANKLE CENTER, PLLC
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
1213ES0103XFoot & Ankle Surgery Podiatrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10019RLOTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174781876
Entity Type Code : Organization
Provider Name (Legal Business Name) : METROPLEX FOOT AND ANKLE CENTER, PLLC
Provider Business Mailing Address
First Line : 8704 MEDICAL CITY WAY
Second Line :
City : FORT WORTH
State : TX
Zip : 76177-2414
Country : US
Telephone Number : 817-595-1310
Fax Number : 817-595-1321
Provider Business Practice Location Address
First Line : 8704 MEDICAL CITY WAY
Second Line :
City : FORT WORTH
State : TX
Zip : 76177-2414
Country : US
Telephone Number : 817-595-1310
Fax Number : 817-595-1321
Authorized Official
Title or Position : PARTNER
Name : DR. STEVEN G LUND
Credential : DPM
Telephone Number : 817-595-1310
Provider Enumeration Date : 05/29/2008
Last Update Date : 09/30/2021

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Directions to “METROPLEX FOOT AND ANKLE CENTER, PLLC ” Practice Location

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