MEDICARE: CENTERS FOR ADVANCED FOOT CARE PA

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	0850	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	DF6905	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0031AK	OTHER	BC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962517680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTERS FOR ADVANCED FOOT CARE PA

Provider Business Mailing Address
First Line	:	12000 RICHMOND AVE STE 370
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2964
Country	:	US
Telephone Number	:	281-531-4100
Fax Number	:	281-531-9600

Provider Business Practice Location Address
First Line	:	12000 RICHMOND AVE STE 370
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2964
Country	:	US
Telephone Number	:	281-531-4100
Fax Number	:	281-531-9600

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ASIA E LO
Credential	:	DPM
Telephone Number	:	281-531-4100

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	01/31/2026

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Directions to “CENTERS FOR ADVANCED FOOT CARE PA ” Practice Location

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