# B FOOT SURGERY CENTER PA

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

## Provider details

- **NPI number:** 1558510990
- **Authorized official:** JODIE ELLIS CPC-H (BUSINESS OFFICES SUPERVISOR)
- **Authorized official phone:** (713) 355-8600

## Contact information

- **Practice address:** 4120 SOUTHWEST FWY, SUITE 200, HOUSTON, TX 77027-7339
- **Practice address phone:** (713) 355-8600
- **Practice address fax:** (713) 355-8069
- **Mailing address:** PO BOX 4356, DEPT 799, HOUSTON, TX 77210-4356
- **Mailing address phone:** (713) 355-8600
- **Mailing address fax:** (713) 355-8069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/10/2008
- **Last updated:** 09/10/2008