Footstar PLLC
Clinic/Center, Podiatric in Houston, TX. Organization (NPI-2).
NPI number1801697347
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1801697347
- Entity type
- Organization (NPI-2)
- Legal business name
- Footstar PLLC
- Organization subpart
- No
- Enumeration date
- Mar 21, 2025
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP1100X | Clinic/Center, Podiatric | – | – | Yes |
Practice location
16211 Clay Rd Ste 110Houston, TX 77084-5420
Phone 630-656-0680
Mailing address
16211 Clay Rd Ste 110Houston, TX 77084-5420
Phone 630-656-0680
Authorized official
Nida Nisar
Podiatrist
6306560680
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