Mary J. Sandoval, DPM,P.a.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

1046 Issued in TX

Legal business name

MARY J. SANDOVAL, DPM,P.A.

Practice address

1220 Blalock Rd
Suite 250
Houston, TX 77055-6472

Phone

(713) 932-0111

Fax

(713) 932-0184

NPI assigned

Jul 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mary Sandoval, DPM

Title

Owner

Phone

(713) 932-0111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1598077547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BLALOCK RD",
            "address_2": "SUITE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556472",
            "telephone_number": "713-932-0111",
            "fax_number": "713-932-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BLALOCK RD",
            "address_2": "SUITE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556472",
            "telephone_number": "713-932-0111",
            "fax_number": "713-932-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY J. SANDOVAL, DPM,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-932-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.