Provider Demographics
NPI:1609198662
Name:ABEER M FOTEH DPM PA
Entity Type:Organization
Organization Name:ABEER M FOTEH DPM PA
Other - Org Name:GREATER HOUSTON FOOT CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABEER
Authorized Official - Middle Name:M
Authorized Official - Last Name:FOTEH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:281-837-8371
Mailing Address - Street 1:11102 BROOK MILL CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3221
Mailing Address - Country:US
Mailing Address - Phone:281-837-8371
Mailing Address - Fax:281-837-8374
Practice Address - Street 1:1666 W BAKER RD
Practice Address - Street 2:SUITE C
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2281
Practice Address - Country:US
Practice Address - Phone:281-837-8371
Practice Address - Fax:281-837-8374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1455213E00000X, 213EP1101X, 213ES0000X, 213ES0103X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports MedicineGroup - Single Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00350POtherMEDICARE
TX043875602Medicaid
TXU75921Medicare UPIN