Healthcare Provider Details
I. General information
NPI: 1922059724
Provider Name (Legal Business Name): HORST P KNAPP DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/15/2006
Last Update Date: 01/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4461 COIT RD SUITE 409
FRISCO TX
75035-0526
US
IV. Provider business mailing address
5375 COIT RD STE 100
FRISCO TX
75035-4911
US
V. Phone/Fax
- Phone: 972-712-7773
- Fax: 972-712-3134
- Phone: 972-712-7773
- Fax: 972-712-3134
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | 1538 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: