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Diane M Phalen
Foot & Ankle Surgery Podiatrist in San Marcos, Texas
NPI 1467637405

Diane M Phalen is a Foot & Ankle Surgery Podiatrist based in San Marcos, TX and is specialized in Foot & Ankle Surgery. Diane M Phalen practices in San Marcos, TX. The NPI Number for Diane M Phalen is 1467637405 and holds a License No. 0992 (Texas).

The current practice location address for Diane M Phalen is 1305 Wonder World Dr, San Marcos, TX and can be reached out via phone at 512-396-0808 and via fax at 512-396-0804.

Location: 1305 Wonder World Dr, San Marcos, TX, 78666-7546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467637405
Provider Name
Diane M Phalen
Credential
Provider Entity Type
Organization
Address
1305 Wonder World Dr, San Marcos, TX, 78666-7546
Phone Number
512-396-0808
Fax Number
512-396-0804
Provider Enumeration Date
01/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018653801 05 TX
institution
Provider Business Practice Location Address Details
Address
1305 Wonder World Dr
City
San Marcos
State
Texas
Zip
78666-7546
Phone Number
512-396-0808
Fax Number
512-396-0804
person
Provider Business Mailing Address Details
Address
1305 Wonder World Dr
City
San Marcos
State
Texas
Zip
78666-7546
Phone Number
512-396-0808
Fax Number
512-396-0804
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
0992 (Texas)
Definition
Definition to come...
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