Organization · Type 2 NPI

Executive Sole Podiatry, PLLC

Podiatric Clinic/Center · Houston, TX

NPI number 1053929430 Active

Practice location

5373 W Alabama St Ste 204
Houston, TX 77056-5923

Fax (866) 925-5662

Mailing address

6445 FM 1463 Rd Ste 160-213
Katy, TX 77494-4027

Specialties and licenses

TaxonomyCodeLicense
Podiatric Clinic/Center Primary 261QP1100XNone listed

Podiatric Clinic/Center: Definition to come...

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About NPI 1053929430

Executive Sole Podiatry, PLLC's National Provider Identifier is 1053929430, issued on Jul 21, 2020. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Houston, TX. The record was last updated on May 6, 2021.