Healthcare Provider Details

I. General information

NPI: 1578938544
Provider Name (Legal Business Name): PODIATRIC MEDICAL PARTNERS OF TEXAS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2015
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 HERITAGE PKWY
GUN BARREL CITY TX
75156-3712
US

IV. Provider business mailing address

801 N ZANG BLVD STE 103
DALLAS TX
75208-4858
US

V. Phone/Fax

Practice location:
  • Phone: 903-887-4341
  • Fax: 903-887-0459
Mailing address:
  • Phone: 214-330-9299
  • Fax: 866-846-5648

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: RICHARD GALPERIN
Title or Position: OWNER, PRESIDENT
Credential: DPM
Phone: 214-330-9299