Provider Demographics
NPI:1407121387
Name:FOOT AND ANKLE INSTITUTE OF TEXAS
Entity Type:Organization
Organization Name:FOOT AND ANKLE INSTITUTE OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUMFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-467-1299
Mailing Address - Street 1:915 GESSNER
Mailing Address - Street 2:380
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024
Mailing Address - Country:US
Mailing Address - Phone:713-467-1299
Mailing Address - Fax:713-467-1297
Practice Address - Street 1:915 GESSNER
Practice Address - Street 2:380
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-467-1299
Practice Address - Fax:713-467-1297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty