Provider Demographics
NPI:1508193210
Name:QUALITY FOOT CARE, PLLC
Entity Type:Organization
Organization Name:QUALITY FOOT CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SREYREATH
Authorized Official - Middle Name:
Authorized Official - Last Name:KUY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:832-279-2996
Mailing Address - Street 1:20742 FOX CLIFF LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-1450
Mailing Address - Country:US
Mailing Address - Phone:832-279-2996
Mailing Address - Fax:281-446-8545
Practice Address - Street 1:20742 FOX CLIFF LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-1450
Practice Address - Country:US
Practice Address - Phone:832-279-2996
Practice Address - Fax:281-446-8545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-17
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1839213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX210280801Medicaid
TX6356750001Medicare NSC
TX0A5552Medicare PIN