Provider Demographics
NPI:1629001193
Name:PINNACLE FOOT AND ANKLE CENTERS, LLP
Entity Type:Organization
Organization Name:PINNACLE FOOT AND ANKLE CENTERS, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:T
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:713-526-7322
Mailing Address - Street 1:7505 FANNIN ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1913
Mailing Address - Country:US
Mailing Address - Phone:713-526-7322
Mailing Address - Fax:713-526-1976
Practice Address - Street 1:7505 FANNIN ST
Practice Address - Street 2:SUITE 211
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1913
Practice Address - Country:US
Practice Address - Phone:713-526-7322
Practice Address - Fax:713-526-1976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1617213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0053NPOtherBLUE CROSS BLUE SHIELD
TX00W570Medicare PIN
TX0053NPOtherBLUE CROSS BLUE SHIELD