Provider Demographics
NPI:1780852525
Name:CENTRAL FOOT & ANKLE ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:CENTRAL FOOT & ANKLE ASSOCIATES, P.A.
Other - Org Name:MARIA J BERTORELLO, DPM OR LINDA NACHMANI, DPM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:NACHMANI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:713-541-3199
Mailing Address - Street 1:2900 WESLAYAN ST STE 650
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5132
Mailing Address - Country:US
Mailing Address - Phone:713-541-3199
Mailing Address - Fax:713-541-5809
Practice Address - Street 1:2900 WESLAYAN ST STE 650
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5132
Practice Address - Country:US
Practice Address - Phone:713-541-3199
Practice Address - Fax:713-541-5809
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL FOOT & ANKLE ASSOCIATES, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-14
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1270213E00000X
TX1164213E00000X
332B00000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0075PVOtherBCBS TX GROUP
TX0075PVOtherBCBS TX GROUP
TX00Y088Medicare PIN