MEDICARE: NEW HORIZON FOOT AND ANKLE SPECIALISTS

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

General Provider Information

NPI Number	:	1528665437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZON FOOT AND ANKLE SPECIALISTS

Provider Business Mailing Address
First Line	:	PO BOX 210773
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76095-7773
Country	:	US
Telephone Number	:	817-330-9698
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 OSLER DR STE 150
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5407
Country	:	US
Telephone Number	:	817-538-5291
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	NDIDI UFONDU
Credential	:
Telephone Number	:	817-538-5291

Provider Enumeration Date	:	10/04/2020
Last Update Date	:	01/15/2021

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