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NPI Code Detail

MEDICARE: HEART OF TEXAS FOOT CARE CENTER, P.A.

MEDICARE: HEART OF TEXAS FOOT CARE CENTER, 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
1213E00000XPodiatrist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18K2280OTHERTXBLUE CROSS & BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528061793
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEART OF TEXAS FOOT CARE CENTER, P.A.
Provider Business Mailing Address
First Line : 103 A SOUTH PARK DR.
Second Line :
City : BROWNWOOD
State : TX
Zip : 76801
Country : US
Telephone Number : 326-646-0715
Fax Number : 325-646-3734
Provider Business Practice Location Address
First Line : 103 A SOUTH PARK DR.
Second Line :
City : BROWNWOOD
State : TX
Zip : 76801
Country : US
Telephone Number : 326-646-0715
Fax Number : 325-646-3734
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : BOHN MARSHALL YOUNG
Credential : D.P.M.
Telephone Number : 325-646-0715
Provider Enumeration Date : 05/23/2005
Last Update Date : 12/06/2018

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Directions to “HEART OF TEXAS FOOT CARE CENTER, P.A. ” Practice Location

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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.