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HEALTHDRIVE PODIATRY GROUP PA NPI 1104861475


NPI Information

NPI: 1104861475
Provider Name: HEALTHDRIVE PODIATRY GROUP, PA

Doing Business As: HEALTHDRIVE PODIATRY GROUP

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4201 FM 1960 RD W
SUITE # 230
HOUSTON, TX
ZIP 77068
Phone: (281) 537-1599
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HEALTHDRIVE PODIATRY GROUP, PA is a podiatrist in Houston, TX. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. HEALTHDRIVE PODIATRY GROUP, PA NPI is 1104861475. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Healthdrive Podiatry Group.

The provider's business location address is:

4201 FM 1960 RD W
SUITE # 230
HOUSTON, TX
ZIP 77068-414
Phone: (281) 537-1599
Fax: (281) 537-1310

The provider's authorized official is Michele Lee Trbovich .
The authorized official title is President/practice Director and has the following contact phone number (214) 697-0727.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 1/2/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1171674801MEDICAIDTEXAS

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: 4/28/2024

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