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General NPI Number Information
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NPI Number | 1932050051
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Entity Type | Organization
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Legal Business Name | ACTIVE LIFE FOOT AND ANKLE OF TEXAS
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 3061 W SOUTHLAKE BLVD STE 120
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City | SOUTHLAKE
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State | TX
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Zip | 76092-0309
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Country | US
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Telephone | 817-627-8271
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Fax |
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Provider Business Mailing Address
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Address Line | 3061 W SOUTHLAKE BLVD
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City | SOUTHLAKE
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State | TX
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Zip | 76092-0311
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Country | US
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Telephone | 817-546-8250
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Fax | 817-546-8251
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Authorized Official
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Title or Position | OWNER, AUTH OFFICIAL, PROVIDER
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Name | PAUL STEINKE
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Credential | DPM
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Telephone | 817-627-8271
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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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