Provider Demographics
NPI:1447399639
Name:LEPOW PODIATRIC MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:LEPOW PODIATRIC MEDICAL ASSOCIATES
Other - Org Name:LEPOW FOOT AND ANKLE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEPOW
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:713-790-0530
Mailing Address - Street 1:6560 FANNIN ST STE 1712
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2725
Mailing Address - Country:US
Mailing Address - Phone:713-790-0530
Mailing Address - Fax:713-790-9320
Practice Address - Street 1:1315 ST JOSEPH PKWY STE 1002
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8231
Practice Address - Country:US
Practice Address - Phone:713-951-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX288218501Medicaid
TX0445640004Medicare NSC