Gulf Coast Foot Clinic PA
Organization Active NPI Foot Surgery Podiatrist · Port Lavaca, TX
NPI 1881741221 · NPPES record last updated Sep 5, 2008
Key facts
- NPI
- 1881741221
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot Surgery Podiatrist 213ES0131X
- License
- 1296 (TX)
- Legal business name
- GULF COAST FOOT CLINIC PA
- Practice address
- 815 N Virginia St
Port Lavaca, TX 77979-3025 - Phone
- (361) 552-0295
- NPI assigned
- Jan 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Richard Steinberg, DPM
- Title
- President
- Phone
- (361) 576-3060
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist |
213ES0131X | 1296 | TX | Yes |
Addresses
Primary practice location
815 N Virginia St
Port Lavaca, TX 77979-3025
Mailing address
PO Box 125
Port Lavaca, TX 77979-0125
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018809601 | Other | TX | SUPERIOR |
| 018809601 | Medicaid | TX | |
| 8AJ751 | Other | TX | BLUE CROSS |
| 480019673 | Other | TX | MEDICARE RRB |
Other providers in Port Lavaca, TX
- Ronda Wishert Grant
- Jeannine L. Griffin
- Valerie Anyssa Guerra
- Gulf Bend MRMR Center Icf/Mr
- Gulf Coast Foot Clinic PA
- Adrianne Gutierrez
- H-E-B, LP
- Jaclyn Hartl
- Diana Hoover
- Clare Horadam
All providers in Port Lavaca, TX · Foot Surgery Podiatrist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.