NPI 1942011986 · live from the CMS NPI Registry
Fas Of Tw LLC
Podiatrist, Foot & Ankle Surgery in Shenandoah, TX. National Provider Identifier 1942011986, active.
NPI record
| NPI | 1942011986 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 9191 Pinecroft Dr Ste 100, Shenandoah, TX 77380 |
| Practice phone | 346-590-2730 |
| Mailing address | 434 W Ascension Way Ste 425, Murray, UT 84123 |
| Enumerated | January 17, 2025 |
| Last updated | October 14, 2025 |
| Authorized official | Marcin Vaclaw, Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Podiatric | 261QP1100X | — |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.