Healthcare Provider Details

I. General information

NPI: 1982752556
Provider Name (Legal Business Name): GOLDEN TRIANGLE FOOT & ANKLE SPECIALISTS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 06/15/2022
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6260 DELAWARE ST
BEAUMONT TX
77706-7602
US

IV. Provider business mailing address

6260 DELAWARE ST
BEAUMONT TX
77706-7602
US

V. Phone/Fax

Practice location:
  • Phone: 409-899-1538
  • Fax: 409-899-2120
Mailing address:
  • Phone: 409-899-1538
  • Fax: 409-899-2120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: MRS. DARLA M WRIGHT
Title or Position: ADMINISTRATOR
Credential:
Phone: 409-899-1538