Healthcare Provider Details

I. General information

NPI: 1235042276
Provider Name (Legal Business Name): GOLD STANDARD MOBILE PODIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR STE 32532
AUSTIN TX
78731-4257
US

IV. Provider business mailing address

5900 BALCONES DR STE 32532
AUSTIN TX
78731-4257
US

V. Phone/Fax

Practice location:
  • Phone: 760-840-3426
  • Fax:
Mailing address:
  • Phone: 760-840-3426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATRINA GOLD
Title or Position: MANAGING MEMBER
Credential: DPM
Phone: 760-840-3426