INNER CITY PODIATRY PROFESSIONAL LIMITED LIABILITY COMPANY NPI 1629503933

NPI Information

NPI: 1629503933
Provider Name: INNER CITY PODIATRY PROFESSIONAL LIMITED LIABILITY COMPANY
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3801 VISTA RD STE 180
PASADENA, TX
ZIP 77504
Phone: (832) 617-6963
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INNER CITY PODIATRY PROFESSIONAL LIMITED LIABILITY COMPANY is a foot and ankle surgery podiatrist in Pasadena, TX. INNER CITY PODIATRY PROFESSIONAL LIMITED LIABILITY COMPANY NPI is 1629503933. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3801 VISTA RD STE 180
PASADENA, TX
ZIP 77504
Phone: (832) 617-6963
Fax: (281) 605-6705

The provider's authorized official is Sarita Danyel Dillard .
The authorized official title is Provider/owner and has the following contact phone number (832) 617-6963.

The enumeration date for this NPI number is 4/24/2017 and was last updated on 5/30/2018.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	2215	TEXAS	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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