Shepherd Square Podiatry,P.A. in Houston - Foot & Ankle Surgery

Shepherd Square Podiatry,P.A. - NPI 1154450856

Shepherd Square Podiatry,P.A. is a Foot & Ankle Surgery in Houston, Texas. Shepherd Square Podiatry,P.A. practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Shepherd Square Podiatry,P.A. is 1154450856. The last update date is 2020-08-22.

Shepherd Square Podiatry,P.A.'s current location address is 2621 S Shepherd Dr, Houston, Texas. You can contact this provider via phone number 7139427700 and fax number 7135296527. The mailing address for Shepherd Square Podiatry,P.A. is 2621 S Shepherd Dr, Houston, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shepherd Square Podiatry,P.A.
Address 2621 S Shepherd Dr, Houston, Texas
Phone Number 7139427700
Fax Number 7135296527
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Lamarra J Anthony
Credentials DPM
Telephone Number 7139427700

NPI Number Detail

NPI Number 1154450856
Provider Enumeration Date 2007-03-06
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2621 S Shepherd Dr
City Houston
State Texas (TX)
Post Code 770981515
Phone Number 7139427700
Fax Number 7135296527

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 1140
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G96C TX BCBS

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FAQs about Shepherd Square Podiatry,P.A.

What is the unique 10-digit identifier code assigned to Shepherd Square Podiatry,P.A. by the Centers for Medicare & Medicaid Services?

The Shepherd Square Podiatry,P.A. has been issued the NPI (National Provider Identifier) 1154450856 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Shepherd Square Podiatry,P.A. located?

The Shepherd Square Podiatry,P.A. is located at 2621 S Shepherd Dr, Houston, TX 770981515.

What is Shepherd Square Podiatry,P.A.'s area of expertise and its corresponding taxonomy classification?

The Shepherd Square Podiatry,P.A.'s field of specialization is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their areas of practice.

When did Shepherd Square Podiatry,P.A. receive its 1154450856 assignment?

The Shepherd Square Podiatry,P.A. was assigned its 1154450856 on 2007-03-06, which is the date when this unique identifier was issued to the organization.

When was the Shepherd Square Podiatry,P.A.'s information last updated?

The Shepherd Square Podiatry,P.A.'s information was last updated on 2020-08-22.

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