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General NPI Number Information
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NPI Number | 1902171275
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Entity Type | Organization
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Legal Business Name | TEXAS FOOT SURGEONS, PLLC
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 690 S LOOP 336 WEST SUITE 150
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City | CONROE
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State | TX
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Zip | 77304-3319
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Country | US
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Telephone | 936-760-1200
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Fax | 936-760-1210
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Provider Business Mailing Address
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Address Line | 690 S LOOP 336 WEST SUITE 150
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City | CONROE
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State | TX
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Zip | 77304-3319
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Country | US
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Telephone | 936-760-1200
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Fax | 936-760-1210
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM ERIC PACK
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Credential | DPM
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Telephone | 936-760-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1243
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1243
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License Number State | TX
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