Healthcare Provider Details

I. General information

NPI: 1861454837
Provider Name (Legal Business Name): PRECISION PODIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 WYOMING SPGS STE 1150
ROUND ROCK TX
78681
US

IV. Provider business mailing address

7200 WYOMING SPGS STE 1150
ROUND ROCK TX
78681-4310
US

V. Phone/Fax

Practice location:
  • Phone: 512-255-0125
  • Fax: 512-255-0153
Mailing address:
  • Phone: 512-255-0125
  • Fax: 512-255-0153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RASHELLE PICKARD-RAMIREZ
Title or Position: PRACTICE MANAGER
Credential:
Phone: 512-255-0125