Provider Demographics
NPI:1215451570
Name:FOOT AND ANKLE SOLUTIONS, PLLC
Entity type:Organization
Organization Name:FOOT AND ANKLE SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:FANNIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-539-8488
Mailing Address - Street 1:3208 LONG PRAIRIE RD STE B
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4960
Mailing Address - Country:US
Mailing Address - Phone:972-539-8488
Mailing Address - Fax:972-874-1107
Practice Address - Street 1:3208 LONG PRAIRIE RD STE B
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4960
Practice Address - Country:US
Practice Address - Phone:972-539-8488
Practice Address - Fax:972-874-1107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty