Afcoa Kingwood, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0713 Issued in TX

Legal business name

AFCOA KINGWOOD, PC

Practice address

1414 Green Oak Terrace CT
100
Kingwood, TX 77339-2960

Phone

(281) 358-9889

Fax

(281) 358-1465

NPI assigned

Sep 28, 2006

Last updated

May 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Kevin Pearson, DPM

Title

Ceo President

Phone

(770) 265-9884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1902997398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 GREEN OAK TERRACE CT STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392960",
            "telephone_number": "281-358-9889",
            "fax_number": "281-358-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 GREEN OAK TERRACE CT",
            "address_2": "100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392960",
            "telephone_number": "281-358-9889",
            "fax_number": "281-358-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFCOA KINGWOOD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "770-265-9884",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.