Healthcare Provider Details

I. General information

NPI: 1033382494
Provider Name (Legal Business Name): AAPEX FAMILY FOOT SPECIALISTS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5925 FOREST LN SUITE 130D
DALLAS TX
75230-2712
US

IV. Provider business mailing address

5925 FOREST LN SUITE 130D
DALLAS TX
75230-2712
US

V. Phone/Fax

Practice location:
  • Phone: 972-385-0002
  • Fax:
Mailing address:
  • Phone: 972-385-0002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number0957
License Number StateTX

VIII. Authorized Official

Name: DR. VERA STERN
Title or Position: DOCTOR OF PODIATRIC MEDICINE
Credential: DPM
Phone: 972-385-0002