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Contact Information

FOOT AND ANKLE CENTER OF NORTH HOUSTON P A
17215 RED OAK DR
SUITE 102
HOUSTON, TX77090-2697
 Phone: 281-444-4114
 Fax: 281-453-1269
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT AND ANKLE CENTER OF NORTH HOUSTON P A

NPI Number 1457393795
LBN Legal business name FOOT AND ANKLE CENTER OF NORTH HOUSTON P A
Authorized official LAWRENCE MACTAVISH - (PRESIDENT/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2006
Last updated 10/20/2009 - About 17 years ago
Identifiers
TX Medicaid 081189501
TX Other 0026DE BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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