=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164196267
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEIGHBORHOOD FOOT AND ANKLE PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/03/2021
-----------------------------------------------------
Last Update Date | 07/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5917 BELT LINE RD
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75254-7703
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-726-6464
-----------------------------------------------------
Fax | 972-726-6444
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5917 BELT LINE RD
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75254-7703
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-726-6464
-----------------------------------------------------
Fax | 972-726-6444
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COO
-----------------------------------------------------
Name | ALYSSA MCELYA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 972-726-6464
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------