PODIATRY CLINICS PA NPI 1023297785

NPI Information

  • NPI: 1023297785
  • Provider Name: PODIATRY CLINICS P,A,
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: PODIATRY CLINICS P.A.
  • Address: 12413 JUDSON RD
    STE 120
    LIVE OAK, TX
    ZIP 78233
  • Phone: (210) 655-9965

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NPI Details

PODIATRY CLINICS P,A, is a podiatrist in Live Oak, 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. PODIATRY CLINICS P,A, NPI is 1023297785. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Podiatry Clinics P.a..

The provider's business location address is:

12413 JUDSON RD
STE 120
LIVE OAK, TX
ZIP 78233-202
Phone: (210) 655-9965
Fax: (210) 655-9985

The provider's authorized official is Catherine M Rezendes .
The authorized official title is President/owner and has the following contact phone number (210) 655-9965.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 11/24/2009.

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
1213E00000XPodiatrist1289TEXASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10031HQOTHERBCBS
200841TMEDICARE PINTEXAS
3178288001MEDICAIDTEXAS
45277470001MEDICARE NSCTEXAS

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: 11/21/2025

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