MEDICARE: PODIATRY ASSOCIATES OF HOUSTON

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922089366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PODIATRY ASSOCIATES OF HOUSTON

Provider Business Mailing Address
First Line	:	6699 CHIMNEY ROCK RD
Second Line	:	SUITE 102
City	:	HOUSTON
State	:	TX
Zip	:	77081-5358
Country	:	US
Telephone Number	:	713-668-7583
Fax Number	:	713-668-5140

Provider Business Practice Location Address
First Line	:	6699 CHIMNEY ROCK RD
Second Line	:	SUITE 102
City	:	HOUSTON
State	:	TX
Zip	:	77081-5358
Country	:	US
Telephone Number	:	713-668-7583
Fax Number	:	713-668-5140

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MARCIA JUDITH BLUMFIELD
Credential	:
Telephone Number	:	713-668-7583

Provider Enumeration Date	:	11/11/2005
Last Update Date	:	05/20/2024

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