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NPI Code Detail

MEDICARE: PODIATRY OF CENTRAL TEXAS PA

MEDICARE: PODIATRY OF CENTRAL TEXAS PA
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
1213ES0103XFoot & Ankle Surgery Podiatrist1771TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10026NVOTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174538623
Entity Type Code : Organization
Provider Name (Legal Business Name) : PODIATRY OF CENTRAL TEXAS PA
Provider Business Mailing Address
First Line : PO BOX 496
Second Line :
City : HUBBARD
State : TX
Zip : 76648-0496
Country : US
Telephone Number : 800-957-9971
Fax Number : 888-878-2856
Provider Business Practice Location Address
First Line : 701 MCCLINTIC DR
Second Line :
City : GROESBECK
State : TX
Zip : 76642-2128
Country : US
Telephone Number : 800-957-9971
Fax Number : 888-878-2856
Authorized Official
Title or Position : PRESIDENT
Name : BRIAN DAVID BATTLES
Credential : DPM
Telephone Number : 800-957-9971
Provider Enumeration Date : 07/30/2006
Last Update Date : 03/30/2009

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1942250527 — DR. SHEER S. RAHAMAN M.D.
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1912196288 — GAYLE ANN HACKBARTH FNP
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Directions to “PODIATRY OF CENTRAL TEXAS PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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