Provider Demographics
NPI:1013536952
Name:SELECT FOOT AND ANKLE SPECIALISTS, P.L.L.C.
Entity Type:Organization
Organization Name:SELECT FOOT AND ANKLE SPECIALISTS, P.L.L.C.
Other - Org Name:SELECT FOOT AND ANKLE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:832-743-0508
Mailing Address - Street 1:14502 CYPRESS MILL PLACE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7300
Mailing Address - Country:US
Mailing Address - Phone:832-743-0508
Mailing Address - Fax:832-743-0588
Practice Address - Street 1:14502 CYPRESS MILL PLACE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-7300
Practice Address - Country:US
Practice Address - Phone:832-743-0508
Practice Address - Fax:832-743-0588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty