Healthcare Provider Details

I. General information

NPI: 1083096044
Provider Name (Legal Business Name): CARING FOOT & ANKLE SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2015
Last Update Date: 06/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 SUGAR LAKES DR
SUGAR LAND TX
77478
US

IV. Provider business mailing address

1035 SUGAR LAKES DR
SUGAR LAND TX
77478-3446
US

V. Phone/Fax

Practice location:
  • Phone: 713-582-8968
  • Fax:
Mailing address:
  • Phone: 713-582-8968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number2129
License Number StateTX

VIII. Authorized Official

Name: BABAK BAHARLOO
Title or Position: PODIATRIST/DPM
Credential: DPM
Phone: 713-582-8968