Provider Demographics
NPI:1437147634
Name:HOME FOOT CARE, LLP
Entity Type:Organization
Organization Name:HOME FOOT CARE, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RANDAL
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEPOW
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:713-621-3338
Mailing Address - Street 1:2000 CRAWFORD ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-9000
Mailing Address - Country:US
Mailing Address - Phone:713-621-3338
Mailing Address - Fax:713-621-3307
Practice Address - Street 1:3000 RICHMOND AVE
Practice Address - Street 2:SUITE 190
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3102
Practice Address - Country:US
Practice Address - Phone:713-621-3338
Practice Address - Fax:713-621-3307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX811213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN
TX=========OtherEIN
TX00AN34Medicare ID - Type UnspecifiedPROVIDER NUMBER