MEDICARE: PODIATRY ASSOCIATES OF TEXAS.

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	213E00000X	Podiatrist	2080	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871998534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PODIATRY ASSOCIATES OF TEXAS.

Provider Business Mailing Address
First Line	:	1186 W PIONEER PKWY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6367
Country	:	US
Telephone Number	:	817-704-4223
Fax Number	:	817-984-3970

Provider Business Practice Location Address
First Line	:	1186 W PIONEER PKWY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-6367
Country	:	US
Telephone Number	:	817-800-8380
Fax Number	:	817-468-0064

Authorized Official
Title or Position	:	PODIATRIST/OWNER
Name	:	DR. SILAS ODANGA. SALANO
Credential	:	DPM
Telephone Number	:	817-800-8380

Provider Enumeration Date	:	10/23/2014
Last Update Date	:	05/11/2017

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Directions to “PODIATRY ASSOCIATES OF TEXAS. ” Practice Location

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