Provider Demographics
NPI:1477665016
Name:DONALD W. FALKNOR
Entity Type:Organization
Organization Name:DONALD W. FALKNOR
Other - Org Name:MEMORIAL SOUTHWEST FOOT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:W
Authorized Official - Last Name:FALKNOR
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:713-981-4448
Mailing Address - Street 1:7737 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1807
Mailing Address - Country:US
Mailing Address - Phone:713-981-4448
Mailing Address - Fax:713-981-4490
Practice Address - Street 1:7737 SOUTHWEST FWY
Practice Address - Street 2:SUITE 500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1854
Practice Address - Country:US
Practice Address - Phone:713-981-4448
Practice Address - Fax:713-981-4490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT13221Medicare UPIN