Peter Crisologo, DPM
Podiatrist in Dallas, TX
Registered providerLicense # listed (TX)TX license current (TDLR)Medicare-enrolledAccepts Medicare assignment
Public-record details
- Address
- 5323 Harry Hines Blvd, Dallas, TX 75390
- Phone
- (214) 645-2353
- Listed under
- Individual podiatrists
- NPI
- 1710306881
- NPI status
- Active in the NPPES registry
- Provider type
- Individual provider
- Registered specialty (self-reported taxonomy)
- Podiatrist (213E00000X)
- Credentials listed
- DPM
- License number on NPI record
- 2272 (TX)
- NPI first issued
- Apr 15, 2014
- Years since NPI first issued
- 12 years (since 2014)
- License state on NPI record
- TX
- NPI record last updated
- Aug 9, 2025
- Texas license status (TDLR)
- Current, expires Nov 15, 2027
- Texas license first issued (TDLR)
- Mar 6, 2017
- Medicare enrollment (CMS)
- Enrolled: listed in CMS Doctors & Clinicians
- Medicare assignment (CMS)
- Accepts the Medicare-approved amount as payment in full
- Professional school graduation (CMS)
- 2014 (12 years ago)
- Medicare group practice (CMS)
- University of Texas Southwestern Medical Center at Dallas (3,187 clinicians)
- Practice locations on file with Medicare (CMS)
- 1
- Other podiatry listings at this street address
- 1
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