Magnolia Podiatry PLLC
Clinic/Center, Podiatric in Houston, TX. Organization (NPI-2).
NPI number1376413724
StatusActive
Last updated in NPPESAug 19, 2026
Details
- NPI
- 1376413724
- Entity type
- Organization (NPI-2)
- Legal business name
- Magnolia Podiatry PLLC
- Organization subpart
- No
- Enumeration date
- Nov 10, 2025
- Certification date
- Aug 19, 2026
- Last updated
- Aug 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP1100X | Clinic/Center, Podiatric | – | – | Yes |
Practice location
17115 Red Oak Dr Ste 201bHouston, TX 77090-2607
Phone 323-314-4271
Mailing address
102 Jacobs Meadow DrConroe, TX 77384-2118
Authorized official
Laura Tolentino
Podiatrist
3233144271
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