CENTER FOR FOOT AND ANKLE SURGERY, PA
Ambulatory Health at 32 St, Austin, TX

License number
Texas 1625
Category
Ambulatory Health
Type
Podiatric
Owner
Name: CHARLES JASON HUBBARD D.P.M.
Title: OWNER
Phone: (512) 477-8853
Address
Address
1015 E 32Nd St STE 204, Austin, TX 78705
National Provider ID: 1982673455
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CENTER FOR FOOT AND ANKLE SURGERY, PA

1015 E 32 St STE 204, Austin, TX 78705

Doing business as:
Center for Foot and Ankle Surgery, PA
Registration:
May 12, 2003
State ID:
0800203513
Business type:
Professional Association
Director, Members:
Charles Jason Hubbard (President, Director, Member),Jose A. Rivera (Director, Member)
Agent:
Charles J Hubbard,1015 E 32 St STE 204, Austin, TX 78705 (Physical)
TIN:
10107666207

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