Provider Demographics
NPI:1639421555
Name:ACHILLES FOOT AND ANKLE SPECIALISTS PLLC
Entity Type:Organization
Organization Name:ACHILLES FOOT AND ANKLE SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/REVENUE
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-586-6724
Mailing Address - Street 1:4131 DIRECTORS ROW
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-8703
Mailing Address - Country:US
Mailing Address - Phone:713-586-6778
Mailing Address - Fax:713-586-6752
Practice Address - Street 1:1605 AIRPORT FWY
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5730
Practice Address - Country:US
Practice Address - Phone:817-267-4100
Practice Address - Fax:817-267-4101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric