Provider Demographics
NPI:1649447632
Name:HOUSTON FOOT AND ANKLE
Entity type:Organization
Organization Name:HOUSTON FOOT AND ANKLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:CALVIN
Authorized Official - Last Name:STRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-992-0006
Mailing Address - Street 1:345 E PARKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5147
Mailing Address - Country:US
Mailing Address - Phone:281-992-0006
Mailing Address - Fax:281-992-0009
Practice Address - Street 1:345 E PARKWOOD AVE
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5147
Practice Address - Country:US
Practice Address - Phone:281-992-0006
Practice Address - Fax:281-992-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1036213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX480007330OtherMEDICARE RAILROAD
TX89480YOtherBLUE CROSS BLUE SHIELD
TXF000DX906Medicaid
TXH00000ZX90OtherBLUE CROSS BLUE SHIELD
TX3956610001Medicare NSC
TX89480YOtherBLUE CROSS BLUE SHIELD
TX480007330OtherMEDICARE RAILROAD
TXT16147Medicare UPIN
TX00DX906Medicare PIN