ADVANCED FOOT SPECIALISTS, PLLC
Medical Practice at Interstate 30, Rockwall, TX

License number
Texas 2086
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: BENJAMIN A BASSICHIS MD
Title: OWNER
Phone: (214) 394-8645
Address
Address 2
201 E Interstate 30 SUITE B, Rockwall, TX 75087
4515 Dorset Rd, Dallas, TX 75229
National Provider ID: 1104233675
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ADVANCED FOOT SPECIALISTS, PLLC at bizstanding.com

ADVANCED FOOT SPECIALISTS, PLLC

4515 Dorset Rd, Dallas, TX 75229

Registration:
May 8, 2014
State ID:
0801986598
Business type:
Domestic Limited Liability Company (LLC)
Managing Members:
Benjamin Bassichis (Managing Member),Kenneth Saland (Managing Member)
Agent:
Benjamin Amos Bassichis,4515 Dorset Rd, Dallas, TX 75229 (Physical)
TIN:
32054010965

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