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Paul Thomas Marciano, DPM
Podiatrist in Southlake, Texas
NPI 1558321810

Paul Thomas Marciano is a Podiatrist based in Southlake, TX. Paul Thomas Marciano practices in Southlake, TX and has the professional credentials of DPM. The NPI Number for Paul Thomas Marciano is 1558321810 and holds a License No. 1364 (Texas).

The current practice location address for Paul Thomas Marciano is 1940 E State Highway 114, Southlake, TX and can be reached out via phone at 817-424-3668 and via fax at 817-442-8637.

Location: 1940 E State Highway 114, Southlake, TX, 76092-6510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558321810
Provider Name
Paul Thomas Marciano
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1940 E State Highway 114, Southlake, TX, 76092-6510
Phone Number
817-424-3668
Fax Number
817-442-8637
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932493574 01 GROUP NPI
8J0650 01 TX BCBS INDV. ID
2441376 01 TX AETNA
0031NJ 01 TX BCBS GROUP
1356541346 01 TX GROUP NPI
1376738971 01 GROUP NPI
1346477304 01 GROUP NPI
603978000 01 TX WORK COMP ID
institution
Provider Business Practice Location Address Details
Address
1940 E State Highway 114
City
Southlake
State
Texas
Zip
76092-6526
Phone Number
817-424-3668
Fax Number
817-442-8637
person
Provider Business Mailing Address Details
Address
1940 E State Highway 114
City
Southlake
State
Texas
Zip
76092-6526
Phone Number
817-424-3668
Fax Number
817-442-8637
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
1364 (Texas)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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