Diane M Phalen

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0992 Issued in TX

Legal business name

DIANE M PHALEN

Practice address

1305 Wonder World Dr
304
San Marcos, TX 78666-7546

Phone

(512) 396-0808

Fax

(512) 396-0804

NPI assigned

Jan 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Diane Marie Phalen, DPM

Title

Owner

Phone

(512) 396-0808

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• San Marcos Foot and Ankle Clinic Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1467637405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR",
            "address_2": "304",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667546",
            "telephone_number": "512-396-0808",
            "fax_number": "512-396-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR",
            "address_2": "304",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667546",
            "telephone_number": "512-396-0808",
            "fax_number": "512-396-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE M PHALEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "PHALEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-396-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "0992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018653801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Marcos Foot and Ankle Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sara Elizabeth Deshaw, LPC
• Rhonda Ann Desormeaux, PTA
• Glenda M Detling, SLP
• Natalie Dettmer, LPC
• Clinton M Dewolfe, O.D.
• Maci Diaz, PHARMD
• Peggy Ann Diaz, LCSW
• Pamela Sue Dickens, PHARMACIST
• Shelby Erin Dickman, MSW, LCP-A
• Daniel Diperna, DPT

• Foot & Ankle Surgery Podiatrist in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.