MEDICARE: FOUNDATION FOOT AND ANKLE CENTERS, PLLC

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	213ES0103X	Foot & Ankle Surgery Podiatrist	1869	TX

General Provider Information

NPI Number	:	1902129166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNDATION FOOT AND ANKLE CENTERS, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 422158
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77242-4358
Country	:	US
Telephone Number	:	713-234-7057
Fax Number	:	713-272-7202

Provider Business Practice Location Address
First Line	:	7505 FANNIN ST STE 211
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1953
Country	:	US
Telephone Number	:	713-234-7057
Fax Number	:	713-272-7202

Authorized Official
Title or Position	:	OWNER/PODIATRIST
Name	:	DR. JULIE KAI LESTER
Credential	:	D.P.M.
Telephone Number	:	713-234-7057

Provider Enumeration Date	:	03/02/2010
Last Update Date	:	11/08/2019

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