Healthcare Provider Details

I. General information

NPI: 1174176085
Provider Name (Legal Business Name): HOUSTONIAN FOOT AND ANKLE SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2019
Last Update Date: 03/27/2020
Certification Date: 03/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14770 MEMORIAL DR STE 150
HOUSTON TX
77079-5238
US

IV. Provider business mailing address

14770 MEMORIAL DR STE 150
HOUSTON TX
77079-4643
US

V. Phone/Fax

Practice location:
  • Phone: 281-501-3443
  • Fax: 713-523-2626
Mailing address:
  • Phone: 281-501-3443
  • Fax: 713-523-2626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ELNAZ SABETI
Title or Position: OWNER
Credential: DPM
Phone: 281-501-3443