FOOT AND ANKLE CENTER OF NORTH HOUSTON P A NPI 1457393795

NPI Information

  • NPI: 1457393795
  • Provider Name: FOOT AND ANKLE CENTER OF NORTH HOUSTON P A
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • CLIA Number: 45D2294662
  • Address: 17215 RED OAK DR
    SUITE 102
    HOUSTON, TX
    ZIP 77090
  • Phone: (281) 444-4114

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NPI Details

FOOT AND ANKLE CENTER OF NORTH HOUSTON P A 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. FOOT AND ANKLE CENTER OF NORTH HOUSTON P A NPI is 1457393795. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17215 RED OAK DR
SUITE 102
HOUSTON, TX
ZIP 77090-697
Phone: (281) 444-4114
Fax: (281) 453-1269

The provider's authorized official is Lawrence S Mactavish .
The authorized official title is President/physician and has the following contact phone number (281) 444-4114.

The CLIA number assigned to this NPI record is 45D2294662 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 10/20/2009.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100814KMEDICARE PINTEXAS
2081189501MEDICAIDTEXAS
30026DEOTHERTEXASBCBS
41313110001MEDICARE 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: 3/30/2025

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