MOBILE PODIATRIC MEDICINE, PLLC (NPI# 1144464215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144464215 |
| Entity Type | Organization |
| Organization Name | MOBILE PODIATRIC MEDICINE, PLLC |
| Practice Address |
603 Wycliffe Dr Houston TX 77079-3507 |
| Mailing Address |
Po Box 79352 Houston TX 77279-9352 |
| Practice Telephone | 6615473114 |
| Mailing Telephone | 6615473114 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Authorized Official Name | VERNON E. REYES (MANAGER) |
| Authorized Official Telephone | 6615473114 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1765 | TX | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730411661 | Mobile Podiatric Medicine, Pllc | Podiatrist | 210 College St, Schulenburg, TX 78956-1604 | 2010-02-03 |
| Street Address |
603 WYCLIFFE DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77079-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356437990 | Vernon E. Reyes | Podiatrist | 603 Wycliffe Dr, Ste B, Houston, TX 77079-3507 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213542 | Apg Ancillaries LLC | Durable Medical Equipment & Medical Supplies | 14811 Saint Marys Ln Ste 152, Houston, TX 77079 | 2020-07-29 |
| 1982244174 | Agatha Nwosu | Registered Nurse | 1155 Dairy Ashford Rd Suite 560, Houston, TX 77079 | 2020-01-15 |
| 1164924650 | Victoria Okon | Licensed Vocational Nurse | 14461 Still Meadow Dr., Houston, TX 77079 | 2018-03-01 |
| 1649711623 | Deon Flenoy | Case Manager/Care Coordinator | 14027 Memorial Dr # 419, Houston, TX 77079 | 2017-03-10 |
| 1396298428 | Supriya Krishnan | Optometrist | 14634 Memorial Dr, Houston, TX 77079 | 2016-07-25 |
| 1942670401 | Medfast Pediatric & Family Clinic | Nurse Practitioner | 14520 Old Katy Rd, St 109, Houston, TX 77079 | 2015-09-28 |
| 1558742106 | Evan Christopher Adams | Dentist | 909 Dairy Ashford Rd Ste 104, Houston, TX 77079 | 2015-06-09 |
| 1114313152 | Yun Li | Internal Medicine | 13140 Trail Hollow Dr, Houston, TX 77079 | 2015-04-07 |
| 1629460308 | Michelle Maligaya | Registered Nurse | 1201 N Dairy Ashford Rd Ste 100, Houston, TX 77079 | 2015-03-04 |
| 1144611989 | Ryan M Keutzer | Hearing Instrument Specialist | 12900 Queensbury Ln #100, Houston, TX 77079 | 2015-02-16 |
| Find all providers in zip 77079 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858265 | Biel Foot & Ankle Specialists Pllc | Podiatrist | 19002 Park Row, Suite 100, Houston, TX 77084 | 2020-07-07 |
| 1073149647 | Interventional Partners LLC | Podiatrist | 18300 Katy Fwy Ste 235, Houston, TX 77094-1521 | 2020-03-16 |
| 1053947622 | Interventional Partners LLC | Podiatrist | 915 Gessner Rd Ste 380, Houston, TX 77024-2519 | 2020-03-16 |
| 1245866813 | Interventional Partners LLC | Podiatrist | 18220 Tomball Pkwy Ste 220, Houston, TX 77070-4370 | 2020-03-16 |
| 1487016655 | Abdul-latif Nurudeen | Podiatrist | 9800 Centre Pkwy Ste 550, Houston, TX 77036-8262 | 2016-03-25 |
| 1861832818 | Karl D Johnson | Podiatrist | 8181 Fannin St Apt 2517, Houston, TX 77054-2991 | 2013-07-04 |
| 1255688255 | Manish K Patel | Podiatrist | 12121 Richmond Ave Ste 415, Houston, TX 77082-2439 | 2012-08-08 |
| 1023365244 | Hadley Mcarthur | Podiatrist | 12121 Richmond Ave Ste 417, Houston, TX 77082-2439 | 2012-08-07 |
| 1063768729 | Bright Chen | Podiatrist | 9889 Bellaire Blvd Ste 219a, Houston, TX 77036-3591 | 2012-07-31 |
| 1427297217 | Natalie R Diers | Podiatrist | 603 Wycliffe Dr # B, Houston, TX 77079-3507 | 2009-02-18 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.