Purple Gator, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2006 Issued in TX

Legal business name

PURPLE GATOR, LLC

Practice address

17115 Red Oak Dr
Suite 218
Houston, TX 77090-2641

Phone

(832) 930-0362

Fax

(832) 779-4362

NPI assigned

Jul 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Brian Selbst

Title

Member

Phone

(832) 930-0362

Specialties & licenses 1

Addresses

Other names 1

• Houston Foot and Ankle Professional Group Doing business as

Locations

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1235512682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR",
            "address_2": "SUITE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902641",
            "telephone_number": "832-930-0362",
            "fax_number": "830-779-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR",
            "address_2": "SUITE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902641",
            "telephone_number": "832-930-0362",
            "fax_number": "832-779-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE GATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "SELBST",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "832-930-0362",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Foot and Ankle Professional Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Houston, TX
• Providers in Houston, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.