Provider Demographics
NPI:1174954267
Name:NORTH AUSTIN FOOT & ANKLE INSTITUTE PLLC
Entity type:Organization
Organization Name:NORTH AUSTIN FOOT & ANKLE INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:MCSPADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:512-593-2949
Mailing Address - Street 1:1130 COTTONWOOD CREEK TRL
Mailing Address - Street 2:BLDG B2
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7588
Mailing Address - Country:US
Mailing Address - Phone:512-593-2949
Mailing Address - Fax:
Practice Address - Street 1:1130 COTTONWOOD CREEK TRL
Practice Address - Street 2:BLDG B2
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7588
Practice Address - Country:US
Practice Address - Phone:512-593-2949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1990213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX302369902Medicaid
TX7170150001Medicare NSC