Organization Active NPI

Foot Wellness Center

  • Foot & Ankle Surgery Podiatrist
  • Cypress, TX
National Provider Identifier
1215562863
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FOOT WELLNESS CENTER
Doing business as
FOOT WELLNESS CENTER
Practice address
21216 Northwest Fwy Ste 240
Cypress, TX 77429-4695
Phone
(281) 955-5500
Fax
(281) 890-9365
NPI assigned
Mar 4, 2020
Organization subpart
Yes
Parent organization
FOOT WELLNESS CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Mrs. Amr Hatem El-Khashab, DPM
Title
Officer
Phone
(281) 382-2081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

21216 Northwest Fwy Ste 240
Cypress, TX 77429-4695

Mailing address

21216 Northwest Fwy Ste 240
Cypress, TX 77429-4695
Phone (281) 955-5500

Other names 1

  • FOOT WELLNESS CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foot Wellness Center2 organizations share this tax ID, including this one
Part of
Foot Wellness Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1215562863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY STE 240",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294695",
            "telephone_number": "281-955-5500",
            "fax_number": "281-890-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY STE 240",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294695",
            "telephone_number": "281-955-5500",
            "fax_number": "281-890-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOT WELLNESS CENTER",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "EL-KHASHAB",
        "authorized_official_first_name": "AMR",
        "authorized_official_middle_name": "HATEM",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "281-382-2081",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOOT WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.