Provider Demographics
NPI:1588306492
Name:JOY FOOT AND ANKLE CLINIC, PLLC
Entity type:Organization
Organization Name:JOY FOOT AND ANKLE CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HYUN YOUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:KHO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-956-8899
Mailing Address - Street 1:675 TOWN SQUARE BLVD BLDG 1A
Mailing Address - Street 2:SUITE 200. PMB 418
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2991
Mailing Address - Country:US
Mailing Address - Phone:469-443-4070
Mailing Address - Fax:
Practice Address - Street 1:675 TOWN SQUARE BLVD BLDG 1A
Practice Address - Street 2:SUITE 200. PMB 418
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2991
Practice Address - Country:US
Practice Address - Phone:469-443-4070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-11
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty