# INNER CITY PODIATRY PROFESSIONAL LIMITED LIABILITY COMPANY

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

## Provider details

- **NPI number:** 1629503933
- **Authorized official:** SARITA DANYEL DILLARD DPM (PROVIDER/OWNER)
- **Authorized official phone:** (832) 617-6963

## Contact information

- **Practice address:** 3801 VISTA RD STE 180, PASADENA, TX 77504
- **Practice address phone:** (832) 617-6963
- **Practice address fax:** (281) 605-6705
- **Mailing address:** PO BOX 42, HOUSTON, TX 77001-0042
- **Mailing address phone:** (832) 617-6963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 2215 | TX | Yes |

## Other

- **Enumeration date:** 04/24/2017
- **Last updated:** 05/30/2018