Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cody Jon Izydor, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497694681

Cody Jon Izydor, DPM is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2026.

Licensed in
TX
In the registry since
2026
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 702-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (TX)

Record details

NPI number1497694681
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 25, 2026
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026
Mailing address6080 Van Horn Ln, Frisco, TX 75034-4042

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