Provider Demographics
NPI:1619114345
Name:COMMUNITY PODIATRY AND FAMILY CENTER
Entity Type:Organization
Organization Name:COMMUNITY PODIATRY AND FAMILY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:713-771-4970
Mailing Address - Street 1:6671 SOUTHWEST FWY STE 320
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2220
Mailing Address - Country:US
Mailing Address - Phone:713-771-4970
Mailing Address - Fax:713-771-8850
Practice Address - Street 1:6671 SOUTHWEST FWY STE 320
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2220
Practice Address - Country:US
Practice Address - Phone:713-771-4970
Practice Address - Fax:713-771-8850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4449111NX0100X
TX39676207Q00000X
TX1307213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty