Liberty Dayton Foot & Ankle Center in Liberty - Podiatrist
Liberty Dayton Foot & Ankle Center - NPI 1689603805
Liberty Dayton Foot & Ankle Center is a Podiatrist in Liberty, Texas. Liberty Dayton Foot & Ankle Center practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Liberty Dayton Foot & Ankle Center is 1689603805. The last update date is 2009-06-19.
Liberty Dayton Foot & Ankle Center's current location address is 1825 Grand Ave, Liberty, Texas. You can contact this provider via phone number 9363362633 and fax number 9363366031. The mailing address for Liberty Dayton Foot & Ankle Center is 1825 Grand Ave, Liberty, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Liberty Dayton Foot & Ankle Center |
|---|---|
| Address | 1825 Grand Ave, Liberty, Texas |
| Phone Number | 9363362633 |
| Fax Number | 9363366031 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Mactavish S Lawrence |
| Credentials | D.P.M. |
| Telephone Number | 9363362633 |
NPI Number Detail
| NPI Number | 1689603805 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2009-06-19 |
Provider Mailing Address Detail
| Address | 1825 Grand Ave |
|---|---|
| City | Liberty |
| State | Texas (TX) |
| Post Code | 7757547050 |
| Phone Number | 9363362633 |
| Fax Number | 9363366031 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 506 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DG6815 | TX | RR MEDICARE | |
| 00J24P | TX | BCBS | |
| 121574103 | TX | -- | |
| 199497201 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Liberty Dayton Foot & Ankle Center by the Centers for Medicare & Medicaid Services?
The Liberty Dayton Foot & Ankle Center has been assigned the NPI (National Provider Identifier) 1689603805 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Liberty Dayton Foot & Ankle Center located?
The Liberty Dayton Foot & Ankle Center is located at 1825 Grand Ave, Liberty, TX 7757547050.
What is Liberty Dayton Foot & Ankle Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Liberty Dayton Foot & Ankle Center is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689603805 to Liberty Dayton Foot & Ankle Center?
The Centers for Medicare & Medicaid Services assigned the 1689603805 to Liberty Dayton Foot & Ankle Center on 2006-07-01.
When was the Liberty Dayton Foot & Ankle Center's information last updated?
The Liberty Dayton Foot & Ankle Center's information was last updated on 2009-06-19.
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