LEGACY FOOT & ANKLE SPECIALISTS, PLLC (NPI# 1356809248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356809248 |
| Entity Type | Organization |
| Organization Name | LEGACY FOOT & ANKLE SPECIALISTS, PLLC |
| Other Organization Name | LEGACY FOOT & ANKLE SPECIALISTS |
| Practice Address |
205 Hollow Tree Ln Houston TX 77090-2801 |
| Mailing Address |
3031 Hummingbird Ln Humble TX 77396-1853 |
| Practice Telephone | 8326026882 |
| Mailing Telephone | 8326206882 |
| Enumeration Date | 2019-03-09 |
| Last Update Date | 2019-03-21 |
| Authorized Official Name | THOMAS MINH-NGOC PHAM (CEO/DIRECTOR) |
| Authorized Official Telephone | 8326026882 |
| 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 |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Legacy Foot & Ankle Specialists | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18960 N Memorial Dr, Humble, TX 773384216 | 2815406322 | |
| 888 Graham Dr Ste 200, Tomball, TX 773753322 | 8326026882 |
| Street Address |
205 HOLLOW TREE LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77090-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093715609 | Triumph Hospital of Northwest, Lp | Long Term Care Hospital | 205 Hollow Tree Ln, Houston, TX 77090-2801 | 2005-07-26 |
| 1578030706 | Ancy Varghese | Nurse Practitioner | 205 Hollow Tree Ln, Houston, TX 77090-2801 | 2018-10-25 |
| 1437641792 | Anju Laxman | Nurse Practitioner | 205 Hollow Tree Ln, Houston, TX 77090-2801 | 2018-06-03 |
| 1184012320 | Balasubramanian Mht LLC | Internal Medicine | 205 Hollow Tree Ln, Houston, TX 77090-2801 | 2014-12-22 |
| 1790032209 | Sarah A Carter | Speech-Language Pathologist | 205 Hollow Tree Ln, Houston, TX 77090-2801 | 2012-08-14 |
| 1245507797 | Osd Sleep Center LLC | Clinic/Center | 205 Hollow Tree Ln, Houston, TX 77090-2801 | 2011-11-29 |
| 1922396423 | Knd Development 59 LLC | Hospitalist | 205 Hollow Tree Ln, Houston, TX 77090-2801 | 2011-07-18 |
| 1689861593 | Triumph Hospital of N Houston Lp | Long Term Care Hospital | 205 Hollow Tree Ln, Houston, TX 77090-2801 | 2007-09-25 |
| 1285626028 | Triumph Hospital of North Houston, Lp | Long Term Care Hospital | 205 Hollow Tree Ln, Houston, TX 77090-2801 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327579 | Chau Nguyen | Pharmacist | 1403 Cypress Creek Pkwy, Houston, TX 77090 | 2020-08-17 |
| 1609435502 | Cordelia Ogechi Egwim | Nurse Practitioner | 110 Cypress Station Drive #270, Houston, TX 77090 | 2019-06-13 |
| 1710496229 | Shamekkia Lashawn Basey | Nurse Practitioner | 1125 Cypress Station Dr Ste B-4, Houston, TX 77090 | 2017-09-27 |
| 1861914780 | Troya Vaniver Rodgers | Clinic/Center | 200 Dominion Park Drive, 1127, Houston, TX 77090 | 2017-07-12 |
| 1760911333 | Diabetes Relief Houston The Woodlands LLC | Clinic/Center | 17434 Red Oak, Suite D, Houston, TX 77090 | 2017-06-07 |
| 1043744790 | Kenneth Willie Dickerson Sr. | Driver | 15530 Ella Blvd Apt 719, Houston, TX 77090 | 2017-04-19 |
| 1740728005 | Meisha Lorraine Smith | Nurse Practitioner | 920 Medical Plaza Blvd, 450, Houston, TX 77090 | 2017-02-07 |
| 1336503648 | Guided Insight Behavioral Health Pllc | Case Management | 11757 Katy Freeway, Suite 1300, Katy, TX 77090 | 2016-04-12 |
| 1134508302 | Compassionate Health Care | Home Health | 601 Cypress Station #408, Houston, TX 77090 | 2015-05-21 |
| 1811386360 | Minal Akshay Patel | Chiropractor | 14755 N. Freeway, Suite 400, Houston, TX 77090 | 2015-01-21 |
| Find all providers in zip 77090 | ||||
| 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.