# DIAGNOSTIC FOOT SPECIALISTS OF VICTORIA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104263318
- **Authorized official:** MARK S LISCH DPM (OWNER)
- **Authorized official phone:** (832) 368-6841

## Contact information

- **Practice address:** 2710 HOSPITAL DR, SUITE 115, VICTORIA, TX 77901-5701
- **Practice address phone:** (361) 575-5222
- **Mailing address:** PO BOX 19441, HOUSTON, TX 77224-9441
- **Mailing address phone:** (361) 575-5222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0787 | TX | Yes |

## Other

- **Enumeration date:** 05/29/2013
- **Last updated:** 04/29/2014