institution
Gulf Coast Foot Clinic Pa
Foot Surgery Podiatrist in Port Lavaca, Texas
NPI 1881741221

Gulf Coast Foot Clinic Pa is a Foot Surgery Podiatrist based in Port Lavaca, TX and is specialized in Foot Surgery. Gulf Coast Foot Clinic Pa practices in Port Lavaca, TX. The NPI Number for Gulf Coast Foot Clinic Pa is 1881741221 and holds a License No. 1296 (Texas).

The current practice location address for Gulf Coast Foot Clinic Pa is 815 N Virginia St, Port Lavaca, TX and can be reached out via phone at 361-552-0295.

Location: 815 N Virginia St, Port Lavaca, TX, 77979-0125
institution
Provider Profile Details
NPI Number
1881741221
Provider Name
Gulf Coast Foot Clinic Pa
Credential
Provider Entity Type
Organization
Address
815 N Virginia St, Port Lavaca, TX, 77979-0125
Phone Number
361-552-0295
Fax Number
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
018809601 01 TX SUPERIOR
018809601 05 TX
8AJ751 01 TX BLUE CROSS
480019673 01 TX MEDICARE RRB
institution
Provider Business Practice Location Address Details
Address
815 N Virginia St
City
State
Zip
77979-3025
Phone Number
361-552-0295
Fax Number
person
Provider Business Mailing Address Details
Address
815 N Virginia St
City
State
Zip
77979-3025
Phone Number
361-552-0295
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
1296 (Texas)
Definition
Definition to come...
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