# VITAL PODIATRY PLLC

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

## Provider details

- **NPI number:** 1407415227
- **Authorized official:** RIZWAN TAI DPM (PRESIDENT)
- **Authorized official phone:** (713) 458-0419

## Contact information

- **Practice address:** 13636 BRETON RIDGE ST STE D, HOUSTON, TX 77070-6077
- **Practice address phone:** (281) 937-4546
- **Practice address fax:** (346) 998-1661
- **Mailing address:** 13636 BRETON RIDGE ST STE D, HOUSTON, TX 77070-6077
- **Mailing address phone:** (281) 937-4546
- **Mailing address fax:** (346) 998-1661

## Taxonomy

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

## Other

- **Enumeration date:** 06/06/2019
- **Last updated:** 12/10/2024