Healthcare Provider Details

I. General information

NPI: 1174781876
Provider Name (Legal Business Name): METROPLEX FOOT AND ANKLE CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 09/30/2021
Certification Date: 09/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8704 MEDICAL CITY WAY
FORT WORTH TX
76177-2414
US

IV. Provider business mailing address

8704 MEDICAL CITY WAY
FORT WORTH TX
76177-2414
US

V. Phone/Fax

Practice location:
  • Phone: 817-595-1310
  • Fax: 817-595-1321
Mailing address:
  • Phone: 817-595-1310
  • Fax: 817-595-1321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN G LUND
Title or Position: PARTNER
Credential: DPM
Phone: 817-595-1310