MEDICARE: PODIATRIC MEDICAL PARTNERS OF 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
1	213ES0131X	Foot Surgery Podiatrist

General Provider Information

NPI Number	:	1477875995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PODIATRIC MEDICAL PARTNERS OF TEXAS, PA

Provider Business Mailing Address
First Line	:	801 N ZANG BLVD STE 103
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-4858
Country	:	US
Telephone Number	:	214-330-9299
Fax Number	:	866-846-5648

Provider Business Practice Location Address
First Line	:	504 N CARRIER PKWY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75050-5428
Country	:	US
Telephone Number	:	972-263-7042
Fax Number	:	321-256-2966

Authorized Official
Title or Position	:	OWNER, PRESIDENT
Name	:	RICHARD GALPERIN
Credential	:	DPM
Telephone Number	:	214-330-9299

Provider Enumeration Date	:	02/25/2010
Last Update Date	:	11/13/2020

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