Active NPI
Diagnostic Foot Specialists of Victoria Inc
- Foot & Ankle Surgery Podiatrist
- Victoria, TX
National Provider Identifier
1104263318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0787
- Legal business name
- DIAGNOSTIC FOOT SPECIALISTS OF VICTORIA INC
- Practice address
- 2710 Hospital Dr
Suite 115
Victoria, TX 77901-5701 - Phone
- (361) 575-5222
- NPI assigned
- May 29, 2013
- Last updated
- Apr 29, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark S Lisch, DPM
- Title
- Owner
- Phone
- (832) 368-6841
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0787 | TX | Primary |
Addresses
Primary practice location
2710 Hospital Dr
Suite 115
Victoria, TX 77901-5701
Mailing address
PO Box 19441
Houston, TX 77224-9441
Phone (361) 575-5222
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Podiatrist
- Fort Worth, TX
- NPI 1124094958
-
- Podiatrist
- Houston, TX
- NPI 1912937921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398729600000",
"number": "1104263318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19441",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772249441",
"telephone_number": "361-575-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 HOSPITAL DR",
"address_2": "SUITE 115",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015701",
"telephone_number": "361-575-5222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC FOOT SPECIALISTS OF VICTORIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-29",
"last_updated": "2014-04-29",
"status": "A",
"authorized_official_last_name": "LISCH",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-368-6841",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "0787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.