Provider Demographics
NPI:1164677753
Name:PREFERRED FOOT SPECIALISTS OF TEXAS, LLC
Entity Type:Organization
Organization Name:PREFERRED FOOT SPECIALISTS OF TEXAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARRETO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:713-533-0840
Mailing Address - Street 1:PO BOX 130937
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77219-0937
Mailing Address - Country:US
Mailing Address - Phone:713-533-0840
Mailing Address - Fax:713-533-0871
Practice Address - Street 1:114 W DREW ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-2002
Practice Address - Country:US
Practice Address - Phone:713-533-0840
Practice Address - Fax:713-533-0871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1557213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0A0251Medicare PIN