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Footprints Podiatric Medicine & Surgery
Prosthetic/Orthotic Supplier in San Antonio, Texas
NPI 1679640122

Footprints Podiatric Medicine & Surgery is a Prosthetic/Orthotic Supplier based in San Antonio, TX. Footprints Podiatric Medicine & Surgery practices in San Antonio, TX. The NPI Number for Footprints Podiatric Medicine & Surgery is 1679640122 and holds a License No. 1676 (Texas).

The current practice location address for Footprints Podiatric Medicine & Surgery is 5282 Medical Dr Ste 107, San Antonio, TX and can be reached out via phone at 210-949-1500 and via fax at 210-949-1490.

Location: 5282 Medical Dr Ste 107, San Antonio, TX, 78229-6023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679640122
Provider Name
Footprints Podiatric Medicine & Surgery
Credential
Provider Entity Type
Organization
Address
5282 Medical Dr Ste 107, San Antonio, TX, 78229-6023
Phone Number
210-949-1500
Fax Number
210-949-1490
Provider Enumeration Date
11/29/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9360728 01 TX PHCS PROVIDER ID #
1796609 01 05 TX
1796609 02 05 TX
0098LJ 01 TX BCBS OF TEXAS PROVIDER ID
1712002 01 05 TX
institution
Provider Business Practice Location Address Details
Address
5282 Medical Dr Ste 107
City
San Antonio
State
Texas
Zip
78229-6023
Phone Number
210-949-1500
Fax Number
210-949-1490
person
Provider Business Mailing Address Details
Address
5282 Medical Dr Ste 107
City
San Antonio
State
Texas
Zip
78229-6023
Phone Number
210-949-1500
Fax Number
210-949-1490
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
1676 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
1676 (Texas)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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