Provider Demographics
NPI:1275828071
Name:FOOT DOCTORS OF TEXAS LLC
Entity Type:Organization
Organization Name:FOOT DOCTORS OF TEXAS LLC
Other - Org Name:SLOAN GORDON DPM PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SLOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:713-988-6600
Mailing Address - Street 1:3200 PALMER HWY
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77590-6724
Mailing Address - Country:US
Mailing Address - Phone:409-948-4884
Mailing Address - Fax:409-948-6042
Practice Address - Street 1:1327 LAKE POINTE PKWY
Practice Address - Street 2:SUITE 520
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4095
Practice Address - Country:US
Practice Address - Phone:713-988-6600
Practice Address - Fax:713-988-8850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty