MEDICARE: DIABETIC FOOTWEAR & SUPPLIES INCORPORATED

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	332BX2000X	Oxygen Equipment & Supplies (DME)	1000138	TX

General Provider Information

NPI Number	:	1659507325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIABETIC FOOTWEAR & SUPPLIES INCORPORATED

Provider Business Mailing Address
First Line	:	610 CROWNPOINT LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76002-4776
Country	:	US
Telephone Number	:	817-261-1177
Fax Number	:

Provider Business Practice Location Address
First Line	:	2912 KRAFT ST
Second Line	:	SUITE #10
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5410
Country	:	US
Telephone Number	:	817-261-1177
Fax Number	:	817-984-3390

Authorized Official
Title or Position	:	CEO
Name	:	LONNETTE ALEXANDER
Credential	:
Telephone Number	:	817-261-1177

Provider Enumeration Date	:	06/08/2009
Last Update Date	:	02/10/2014

Similar Medicare Providers

1194729426 — NANETTE DAVIES RNC, WHNP
Practice Location Address:

2912 KRAFT ST , STE 30
ARLINGTON, TX
76010-5410

Practice Phone: 817-640-0771
Practice Fax: 817-633-3329

1659313328 — DR. KENNETH RONALD DORITY D.O.
Practice Location Address:

2912 KRAFT ST STE 30
ARLINGTON, TX
76010-5410

Practice Phone: 402-885-0365
Practice Fax:

1376790808 — LAUREN E.L. NEAL RN, BSN, WHNP
Practice Location Address:

2912 KRAFT ST , SUITE 30
ARLINGTON, TX
76010-5410

Practice Phone: 817-640-0771
Practice Fax:

1487192522 — CLEANSLATE MEDICAL GROUP OF TEXAS PLLC
Practice Location Address:

2912 KRAFT ST STE 30
ARLINGTON, TX
76010-5410

Practice Phone: 413-584-2173
Practice Fax:

1831859701 — MR. LAWRENCE CARTER LCDC
Practice Location Address:

2912 KRAFT ST STE 30
ARLINGTON, TX
76010-5410

Practice Phone: 817-522-5138
Practice Fax:

1053842518 — MRS. JOANNA PUSTILNIK MS RDN LDN CDCES
Practice Location Address:

2134 S NELSON ST
ARLINGTON, VA
22204-5410

Practice Phone: 804-787-4431
Practice Fax:

Directions to “DIABETIC FOOTWEAR & SUPPLIES INCORPORATED ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.