Basic Information
| Provider Information | |||||||||
| NPI: | 1922059724 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KNAPP | ||||||||
| FirstName: | HORST | ||||||||
| MiddleName: | P | ||||||||
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| Credential: | DPM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5375 COIT RD | ||||||||
| Address2: | STE 100 | ||||||||
| City: | FRISCO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750354911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727127773 | ||||||||
| FaxNumber: | 9727123134 | ||||||||
| Practice Location | |||||||||
| Address1: | 4461 COIT RD | ||||||||
| Address2: | SUITE 409 | ||||||||
| City: | FRISCO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750350526 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727127773 | ||||||||
| FaxNumber: | 9727123134 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2006 | ||||||||
| LastUpdateDate: | 01/28/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | 1538 | TX | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist |
ID Information
| ID | Type | State | Issuer | Description | 752946496 | 01 | COMMERCIAL | OTHER | 8B8720 | 01 | TX | BLUE SHIELD BLUE CROSS | OTHER | 148568201 | 05 | TX | MEDICAID |