Provider Demographics
NPI:1831298470
Name:SAVE THE FEET MOBILE PODIATRY PLLC
Entity type:Organization
Organization Name:SAVE THE FEET MOBILE PODIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:512-707-8855
Mailing Address - Street 1:PO BOX 2071
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78297-2071
Mailing Address - Country:US
Mailing Address - Phone:512-300-2455
Mailing Address - Fax:512-928-9464
Practice Address - Street 1:7901 CAMERON RD STE 3-343
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-3849
Practice Address - Country:US
Practice Address - Phone:512-300-2455
Practice Address - Fax:512-928-9464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1677213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0058LJOtherBCBS PROVIDER NUMBER
TX165507801Medicaid
TX0058LJOtherBCBS PROVIDER NUMBER
TXU84732Medicare UPIN