Organization Active NPI

Legacy Foot & Ankle Specialists, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Humble, TX
National Provider Identifier
1356809248
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
LEGACY FOOT & ANKLE SPECIALISTS, PLLC
Practice address
1485 FM 1960 Bypass Rd E Ste 200
Humble, TX 77338-3965
Phone
(281) 324-0444
NPI assigned
Mar 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Thomas Minh-Ngoc Pham, DPMNPI 1255740502
Title
Ceo/Director
Phone
(832) 602-6882

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 PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1485 FM 1960 Bypass Rd E Ste 200
Humble, TX 77338-3965

Mailing address

3031 Hummingbird LN
Humble, TX 77396-1853
Phone (832) 620-6882

Other practice location 1

18960 N Memorial Dr
Humble, TX 77338-4216
Phone (281) 540-6322

Other names 1

  • Legacy Foot & Ankle Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

205 Hollow Tree Ln
Houston, TX 77090
Phone (713) 807-8686

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": "1552089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1356809248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 HUMMINGBIRD LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773961853",
            "telephone_number": "832-620-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 FM 1960 BYPASS RD E STE 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773383965",
            "telephone_number": "281-324-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18960 N Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773384216",
            "country_code": "US",
            "telephone_number": "281-540-6322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY FOOT & ANKLE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-09",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MINH-NGOC",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "832-602-6882",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Foot & Ankle Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.