MEDICARE: FAMILY FOOT DOCTOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1053878009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FOOT DOCTOR

Provider Business Mailing Address
First Line	:	2400 AUGUSTA DR STE 270
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-5033
Country	:	US
Telephone Number	:	713-784-3668
Fax Number	:	713-784-3648

Provider Business Practice Location Address
First Line	:	2400 AUGUSTA DR STE 270
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-5033
Country	:	US
Telephone Number	:	713-784-3668
Fax Number	:	713-784-3648

Authorized Official
Title or Position	:	ADMINISTRATIVE ASSISTANT
Name	:	ERLINDA ZUNIGA
Credential	:
Telephone Number	:	713-784-3668

Provider Enumeration Date	:	02/26/2019
Last Update Date	:	04/30/2020

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Directions to “FAMILY FOOT DOCTOR ” Practice Location

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