MEDICARE: COMMUNITY PODIATRY AND FAMILY CENTER

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	213ES0103X	Foot & Ankle Surgery Podiatrist	1307	TX
2	111NX0100X	Occupational Health Chiropractor	4449	TX
3	207Q00000X	Family Medicine Physician	39676	TX

General Provider Information

NPI Number	:	1619114345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY PODIATRY AND FAMILY CENTER

Provider Business Mailing Address
First Line	:	6671 SOUTHWEST FWY STE 320
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2220
Country	:	US
Telephone Number	:	713-771-4970
Fax Number	:	713-771-8850

Provider Business Practice Location Address
First Line	:	6671 SOUTHWEST FWY STE 320
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2220
Country	:	US
Telephone Number	:	713-771-4970
Fax Number	:	713-771-8850

Authorized Official
Title or Position	:	PRESEDENT
Name	:	DR. HANNA E FRANCIS
Credential	:	DPM
Telephone Number	:	713-771-4970

Provider Enumeration Date	:	01/16/2009
Last Update Date	:	01/16/2009

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