EXECUTIVE SOLE PODIATRY PLLC NPI 1053929430

NPI Information

NPI: 1053929430
Provider Name: EXECUTIVE SOLE PODIATRY, PLLC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
5373 W ALABAMA ST STE 204
HOUSTON, TX
ZIP 77056
Phone: (866) 925-5662
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EXECUTIVE SOLE PODIATRY, PLLC is a podiatric clinic center in Houston, TX. EXECUTIVE SOLE PODIATRY, PLLC NPI is 1053929430. The provider is registered as an organization entity type.

The provider's business location address is:

5373 W ALABAMA ST STE 204
HOUSTON, TX
ZIP 77056-923
Phone: (866) 925-5662
Fax: (866) 925-5662

The provider's authorized official is Anetra Sharice Miranda .
The authorized official title is Podiatrist and has the following contact phone number (866) 925-5662.

The enumeration date for this NPI number is 7/21/2020 and was last updated on 5/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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