Provider Demographics
NPI:1699964684
Name:FOOT CENTERS OF TEXAS
Entity type:Organization
Organization Name:FOOT CENTERS OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHETAL
Authorized Official - Middle Name:ROHIT
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:281-240-3338
Mailing Address - Street 1:16605 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 350
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3501
Mailing Address - Country:US
Mailing Address - Phone:281-240-3338
Mailing Address - Fax:281-240-3318
Practice Address - Street 1:16605 SOUTHWEST FWY
Practice Address - Street 2:SUITE 350
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3501
Practice Address - Country:US
Practice Address - Phone:281-240-3338
Practice Address - Fax:281-240-3318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-16
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1565213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty