Provider Demographics
NPI:1346290251
Name:FALKNOR, DONALD W (DPM)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:W
Last Name:FALKNOR
Suffix:
Gender:M
Credentials:DPM
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7777 SOUTHWEST FREEWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1813
Mailing Address - Country:US
Mailing Address - Phone:713-981-4448
Mailing Address - Fax:713-981-4490
Practice Address - Street 1:7777 SOUTHWEST FREEWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1813
Practice Address - Country:US
Practice Address - Phone:713-981-4448
Practice Address - Fax:713-981-4490
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX598213E00000X
TX0598213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018643901Medicaid
TX1007210001Medicare NSC
TXT13221Medicare UPIN