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General NPI Number Information
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NPI Number | 1609911692
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Entity Type | Organization
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Legal Business Name | FOOT AND ANKLE CENTERS OF TEXAS, PA
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 1108 GULF FWY S STE 106
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City | LEAGUE CITY
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State | TX
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Zip | 77573-5100
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Country | US
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Telephone | 281-554-0111
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Fax | 281-332-1787
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Provider Business Mailing Address
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Address Line | PO BOX 57310
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City | WEBSTER
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State | TX
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Zip | 77598-7310
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Country | US
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Telephone | 281-554-0111
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Fax | 281-332-1787
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SEAN AZIZ REYHANI
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Credential | D.P.M.
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Telephone | 281-554-0111
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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 | TX
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