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NPI 1013536952

NPI 1013536952 : SELECT FOOT AND ANKLE SPECIALISTS, P.L.L.C. : CYPRESS, TX

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General NPI Number Information
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    NPI Number           |    1013536952
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    Entity Type          |    Organization 
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    Legal Business Name  |    SELECT FOOT AND ANKLE SPECIALISTS, P.L.L.C. 
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Dates
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    Enumeration Date     |    04/10/2020
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    Last Update Date     |    03/31/2025
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Provider Practice Location Address
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    Address Line         |    14502 CYPRESS MILL PLACE BLVD STE 200 
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77429-7300
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    Country              |    US
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    Telephone            |    832-743-0508
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    Fax                  |    832-743-0588
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Provider Business Mailing Address
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    Address Line         |    14502 CYPRESS MILL PLACE BLVD STE 200 
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77429-7300
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    Country              |    US
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    Telephone            |    832-743-0508
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    Fax                  |    832-743-0588
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. CHRISTOPHER DAVID CORREA 
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    Credential           |    DPM
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    Telephone            |    832-743-0508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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