MEDICARE: ASHTON PODIATRY ASSOCIATES, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	DPM676	TX

General Provider Information

NPI Number	:	1033398011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHTON PODIATRY ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	5400 W PLANO PKWY
Second Line	:	SUITE 100
City	:	PLANO
State	:	TX
Zip	:	75093-4852
Country	:	US
Telephone Number	:	972-818-5600
Fax Number	:	972-818-5604

Provider Business Practice Location Address
First Line	:	5400 W PLANO PKWY
Second Line	:	SUITE 100
City	:	PLANO
State	:	TX
Zip	:	75093-4852
Country	:	US
Telephone Number	:	972-818-5600
Fax Number	:	972-818-5604

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROY ASHTON
Credential	:	D.P.M.
Telephone Number	:	214-691-0760

Provider Enumeration Date	:	10/26/2007
Last Update Date	:	03/27/2008

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