Provider Demographics
NPI:1770235616
Name:FAMILY FOOT AND ANKLE CENTER OF SAN ANTONIO
Entity Type:Organization
Organization Name:FAMILY FOOT AND ANKLE CENTER OF SAN ANTONIO
Other - Org Name:FAMILY FOOT AND ANKLE CENTER OF SAN ANTONIO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWZE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:801-836-1762
Mailing Address - Street 1:6510 BABCOCK RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2302
Mailing Address - Country:US
Mailing Address - Phone:210-999-5550
Mailing Address - Fax:210-999-5593
Practice Address - Street 1:6510 BABCOCK RD STE 105
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2302
Practice Address - Country:US
Practice Address - Phone:210-999-5550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports MedicineGroup - Single Specialty