Healthcare Provider Details

I. General information

NPI: 1194347823
Provider Name (Legal Business Name): ASANTE PACE-SANCHEZ DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASANTE PACE

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 W PIONEER PKWY STE 200
ARLINGTON TX
76013-7627
US

IV. Provider business mailing address

635 ALEXANDRA AVE
RICHARDSON TX
75081-4999
US

V. Phone/Fax

Practice location:
  • Phone: 817-704-4223
  • Fax:
Mailing address:
  • Phone: 504-251-7841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number692171
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number692171
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: