# MOBILE PODIATRIC MEDICINE, PLLC

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

## Provider details

- **NPI number:** 1144464215
- **Authorized official:** VERNON E. REYES DPM (MANAGER)
- **Authorized official phone:** (661) 547-3114

## Contact information

- **Practice address:** 603 WYCLIFFE DR, HOUSTON, TX 77079-3507
- **Practice address phone:** (661) 547-3114
- **Mailing address:** PO BOX 79352, HOUSTON, TX 77279-9352
- **Mailing address phone:** (661) 547-3114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 1765 | TX | Yes |

## Other

- **Enumeration date:** 04/20/2009
- **Last updated:** 04/20/2009