Healthcare Provider Details

I. General information

NPI: 1689837056
Provider Name (Legal Business Name): EVERYONE'S FOOT SPECIALIST, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 12/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21715 KINGSLAND BLVD SUITE 102
KATY TX
77450-2543
US

IV. Provider business mailing address

10419 COBALT FALLS DR
HOUSTON TX
77095-5440
US

V. Phone/Fax

Practice location:
  • Phone: 281-599-3668
  • Fax:
Mailing address:
  • Phone: 713-443-0702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. NGOC-LOAN K NGUYEN
Title or Position: PODIATRIST/OWNER
Credential: DPM
Phone: 713-443-0702