MEDICARE: HOME FOOT CARE, LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist	811	TX

General Provider Information

NPI Number	:	1437147634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME FOOT CARE, LLP

Provider Business Mailing Address
First Line	:	2000 CRAWFORD ST
Second Line	:	SUITE 700
City	:	HOUSTON
State	:	TX
Zip	:	77002-9000
Country	:	US
Telephone Number	:	713-621-3338
Fax Number	:	713-621-3307

Provider Business Practice Location Address
First Line	:	3000 RICHMOND AVE
Second Line	:	SUITE 190
City	:	HOUSTON
State	:	TX
Zip	:	77098-3102
Country	:	US
Telephone Number	:	713-621-3338
Fax Number	:	713-621-3307

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	RANDAL M LEPOW
Credential	:	D.P.M.
Telephone Number	:	713-621-3338

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	08/22/2020

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