Provider Demographics
NPI:1295909182
Name:LESTER, JULIE KAI (DPM)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:KAI
Last Name:LESTER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 422158
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-4358
Mailing Address - Country:US
Mailing Address - Phone:713-234-7057
Mailing Address - Fax:713-272-7202
Practice Address - Street 1:7505 FANNIN ST STE 211
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1953
Practice Address - Country:US
Practice Address - Phone:713-234-7057
Practice Address - Fax:713-272-7202
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901002218213ES0103X
TX1869213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6452180001OtherDMEPOS PTAN
TX8L1856Medicare PIN
TX6452180001OtherDMEPOS PTAN
TX8L14513Medicare PIN
TX107573Medicare PIN