Organization Active NPI

Hou Foot Ankle Pro, LLC

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1578205506
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
HOU FOOT ANKLE PRO, LLC
Practice address
17115 Red Oak Dr Ste 218
Houston, TX 77090-2607
Phone
(832) 930-0362
Fax
(832) 779-4362
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Brian H Selbst
Title
Provider
Phone
(832) 930-0362

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

17115 Red Oak Dr Ste 218
Houston, TX 77090-2607

Mailing address

700 W Clay St
Houston, TX 77019-4348

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1578205506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W CLAY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770194348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR STE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902607",
            "telephone_number": "832-930-0362",
            "fax_number": "832-779-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOU FOOT ANKLE PRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "SELBST",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "832-930-0362"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 11, 2022; 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.