Organization Active NPI

Hou Foot Ankle Pro, LLC

  • Foot & Ankle Surgery Podiatrist
  • Lake Jackson, TX
National Provider Identifier
1992243695
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2006 Issued in TX
Legal business name
HOU FOOT ANKLE PRO, LLC
Practice address
131 Circle Way St Ste a
Lake Jackson, TX 77566-5233
Phone
(979) 429-3621
Fax
(832) 779-4362
NPI assigned
Feb 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Brian H SelbstNPI 1881822476
Title
Member
Phone
(832) 930-0362

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 2006 TX Primary

Addresses

Primary practice location

131 Circle Way St Ste a
Lake Jackson, TX 77566-5233

Mailing address

131 Circle Way St Ste a
Lake Jackson, TX 77566-5233
Phone (979) 429-3621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170608001255 TX Part B Supplier - Clinic/Group Practice 7113295585 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX; Sugar Land, TX; Pearland, TX; Lake Jackson, TX; Galveston, TX; Angleton, TX
O20211028000347 TX DME Supplier - Physician - Podiatry 7113295585 Practice locations: Lake Jackson, TX

National Provider Directory

National Provider Directory

Locations

146 E Hospital Dr
Ste 100
Angleton, TX 77515

Practitioners & affiliated clinicians

Practitioners 2

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": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1992243695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CIRCLE WAY ST STE A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665233",
            "telephone_number": "979-429-3621",
            "fax_number": "832-779-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CIRCLE WAY ST STE A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665233",
            "telephone_number": "979-429-3621",
            "fax_number": "832-779-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOU FOOT ANKLE PRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "SELBST",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "832-930-0362"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.