MEDICARE: DR. PARTH M DIXIT DPM

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	390200000X	Student in an Organized Health Care Education/Training Program
2	213E00000X	Podiatrist	3172	TX

General Provider Information

NPI Number	:	1689164337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PARTH M DIXIT DPM

Provider Business Mailing Address
First Line	:	1900 NORTH LOOP W STE 180
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-8151
Country	:	US
Telephone Number	:	281-888-0809
Fax Number	:	877-559-7682

Provider Business Practice Location Address
First Line	:	1900 NORTH LOOP W STE 180
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-8151
Country	:	US
Telephone Number	:	281-888-0809
Fax Number	:	877-559-7682

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2018
Last Update Date	:	11/21/2022

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