MEDICARE: ANP FOOT AND ANKLE CLINIC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1134374689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANP FOOT AND ANKLE CLINIC

Provider Business Mailing Address
First Line	:	5503 BALCONES DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4907
Country	:	US
Telephone Number	:	512-945-2851
Fax Number	:	512-419-1966

Provider Business Practice Location Address
First Line	:	5503 BALCONES DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4907
Country	:	US
Telephone Number	:	512-945-2851
Fax Number	:	512-419-1966

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NAVIN KUMAR GUPTA
Credential	:	DPM
Telephone Number	:	515-240-7973

Provider Enumeration Date	:	11/25/2008
Last Update Date	:	11/25/2008

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