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NPI Code Detail

MEDICARE: THE PODIATRY GROUP OF SOUTH TEXAS, PA

MEDICARE: THE PODIATRY GROUP OF SOUTH 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1548361595
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE PODIATRY GROUP OF SOUTH TEXAS, PA
Provider Business Mailing Address
First Line : 5825 CALLAGHAN RD STE 102
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78228-1106
Country : US
Telephone Number : 210-227-7000
Fax Number : 210-348-9130
Provider Business Practice Location Address
First Line : 4025 E SOUTHCROSS BLVD STE 11
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78222-3640
Country : US
Telephone Number : 210-333-8441
Fax Number : 210-654-1783
Authorized Official
Title or Position : OPERATIONS OFFICER
Name : KAREN D SINCLAIR
Credential :
Telephone Number : 210-227-8700
Provider Enumeration Date : 09/25/2006
Last Update Date : 06/03/2021

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Directions to “THE PODIATRY GROUP OF SOUTH TEXAS, PA ” Practice Location

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