Healthcare Provider Details

I. General information

NPI: 1225407489
Provider Name (Legal Business Name): ATX FOOT & ANKLE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9012 RESEARCH BLVD SUITE C-13
AUSTIN TX
78758-7093
US

IV. Provider business mailing address

9012 RESEARCH BLVD STE C13
AUSTIN TX
78758-7012
US

V. Phone/Fax

Practice location:
  • Phone: 405-205-5966
  • Fax:
Mailing address:
  • Phone: 512-450-0101
  • Fax: 512-450-0086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number2171
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number2170
License Number StateTX

VIII. Authorized Official

Name: DR. RAJAN K PATEL
Title or Position: MANAGING MEMBER
Credential: DPM
Phone: 512-450-0101