Organization Active NPI

Mobile Podiatric Medicine, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1144464215
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1765 Issued in TX
Legal business name
MOBILE PODIATRIC MEDICINE, PLLC
Practice address
603 Wycliffe Dr
Houston, TX 77079-3507
Phone
(661) 547-3114
NPI assigned
Apr 20, 2009
Last updated
Apr 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Vernon E. Reyes, DPMNPI 1356437990
Title
Manager
Phone
(661) 547-3114

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
Foot & Ankle Surgery Podiatrist 213ES0103X 1765 TX Primary

Addresses

Primary practice location

603 Wycliffe Dr
Houston, TX 77079-3507

Mailing address

PO Box 79352
Houston, TX 77279-9352
Phone (661) 547-3114

National Provider Directory

National Provider Directory

Locations

603 Wycliffe Dr
Houston, TX 77079
Phone (661) 547-3114

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1144464215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79352",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772799352",
            "telephone_number": "661-547-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 WYCLIFFE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770793507",
            "telephone_number": "661-547-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PODIATRIC MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "661-547-3114",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.