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General NPI Number Information
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NPI Number | 1093982035
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Entity Type | Organization
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Legal Business Name | SOUTHEAST TEXAS FOOT AND ANKLE PA
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 915 GESSNER RD STE 460
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City | HOUSTON
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State | TX
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Zip | 77024-2520
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Country | US
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Telephone | 713-667-1057
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Fax | 713-464-5325
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Provider Business Mailing Address
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Address Line | 915 GESSNER RD STE 460
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City | HOUSTON
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State | TX
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Zip | 77024-2520
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Country | US
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Telephone | 713-667-1057
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Fax | 713-464-5325
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JEFF HETMAN
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Credential | DPM
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Telephone | 713-667-1057
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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 | 1238
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License Number State | TX
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