Organization Active NPI

Foot Specialists of Tri-County PA

  • Podiatric Clinic/Center
  • Sulphur Springs, TX
National Provider Identifier
1053503482
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
1633P Issued in TX
Legal business name
FOOT SPECIALISTS OF TRI-COUNTY PA
Practice address
119 Medical Cir
Sulphur Springs, TX 75482-2138
Phone
(903) 885-3754
Fax
(903) 347-1207
NPI assigned
Aug 9, 2007
Last updated
Sep 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lanhuong Thi Pham, DPMNPI 1710952734
Title
Podiatrist
Phone
(903) 885-2754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 1633P TX Primary

Addresses

Primary practice location

119 Medical Cir
Sulphur Springs, TX 75482-2138

Mailing address

119 Medical Cir
Sulphur Springs, TX 75482-2138
Phone (903) 885-2754

Other practice location 1

719 W Coke Rd
Ste 4
Winnsboro, TX 75494-3060
Phone (903) 347-1201

Other identifiers 1

IdentifierTypeStateIssuer
176461502MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050910000168 TX Part B Supplier - Clinic/Group Practice 8123050101 Receives reassigned benefits from 2 practitioners
Practice locations: Sulphur Springs, TX
O20100930067179 TX DME Supplier - Physician - Podiatry 8123050101 Practice locations: Sulphur Springs, TX

National Provider Directory

National Provider Directory

Locations

719 W Coke Rd
Ste 9
Winnsboro, TX 75494
Phone (903) 342-4182

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1053503482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MEDICAL CIR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822138",
            "telephone_number": "903-885-2754",
            "fax_number": "903-347-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MEDICAL CIR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822138",
            "telephone_number": "903-885-3754",
            "fax_number": "903-347-1207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 W Coke Rd",
            "address_2": "Ste 4",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "TX",
            "postal_code": "754943060",
            "country_code": "US",
            "telephone_number": "903-347-1201",
            "fax_number": "903-347-1207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOOT SPECIALISTS OF TRI-COUNTY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LANHUONG",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "903-885-2754",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "TX",
            "license": "1633P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176461502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.