MEDICARE: TEXAS FOOT AND ANKLE CLINIC PLLC

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

General Provider Information

NPI Number	:	1902743552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS FOOT AND ANKLE CLINIC PLLC

Provider Business Mailing Address
First Line	:	164 BELTERRA VILLAGE WAY STE Y200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-4804
Country	:	US
Telephone Number	:	702-561-9950
Fax Number	:

Provider Business Practice Location Address
First Line	:	164 BELTERRA VILLAGE WAY STE Y200
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-4804
Country	:	US
Telephone Number	:	702-561-9950
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	VANATIUS BABILA TITA
Credential	:	DPM
Telephone Number	:	702-561-9950

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	05/07/2026

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