Texas Medical Wound Care Group
Podiatrist, Foot & Ankle Surgery in Houston, TX. Organization (NPI-2).
NPI number1871237883
StatusActive
Last updated in NPPESApr 25, 2022
Details
- NPI
- 1871237883
- Entity type
- Organization (NPI-2)
- Legal business name
- Texas Medical Wound Care Group
- Organization subpart
- No
- Enumeration date
- Apr 25, 2022
- Certification date
- Apr 25, 2022
- Last updated
- Apr 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
2400 Augusta Dr Ste 369Houston, TX 77057-4911
Phone 323-545-4007
Mailing address
4640 Admiralty Way Ste 500Marina Del Rey, CA 90292-6636
Phone 818-836-2475
Authorized official
Christopher Ayodele Otiko
President
8188362475
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