Organization Active NPI

Texas Mobile Foot Consultants, LLC

  • Foot Surgery Podiatrist
  • Pasadena, TX
National Provider Identifier
1205076494
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1618 Issued in TX
Legal business name
TEXAS MOBILE FOOT CONSULTANTS, LLC
Practice address
3222 Burke Rd
Suite 102
Pasadena, TX 77504-1859
Phone
(713) 948-0400
Fax
(713) 948-0401
NPI assigned
Feb 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Rebecca Reilly-Nivers, D.P.M.NPI 1265420053
Title
Manager
Phone
(832) 526-7567

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 Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 1618 TX Primary

Addresses

Primary practice location

3222 Burke Rd
Suite 102
Pasadena, TX 77504-1859

Mailing address

12705 Rio Bravo St
Rosharon, TX 77583-4073
Phone (832) 526-7567

National Provider Directory

National Provider Directory

Locations

3222 Burke Rd
Ste 102
Pasadena, TX 77504
Phone (713) 948-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1205076494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12705 RIO BRAVO ST",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775834073",
            "telephone_number": "832-526-7567",
            "fax_number": "713-948-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 BURKE RD",
            "address_2": "SUITE 102",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041859",
            "telephone_number": "713-948-0400",
            "fax_number": "713-948-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MOBILE FOOT CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "REILLY-NIVERS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-526-7567",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.