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General NPI Number Information
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NPI Number | 1598574394
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Entity Type | Organization
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Legal Business Name | BAYOU CITY FOOT AND ANKLE LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 12337 JONES RD STE 322
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City | HOUSTON
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State | TX
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Zip | 77070-4951
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Country | US
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Telephone | 281-500-8891
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Fax |
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Provider Business Mailing Address
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Address Line | 6161 SAVOY DR STE 1238
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City | HOUSTON
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State | TX
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Zip | 77036-3316
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Country | US
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Telephone | 281-500-8891
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABDUL-LATIF NURUDEEN
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Credential | DPM
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Telephone | 281-500-8891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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