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Organization
PODIATRY CONSULTANTS OF TEXAS, INC
Active
Organization
PODIATRY CONSULTANTS OF TEXAS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M. JACOBS DPM (MEDICAL DIRECTOR)
(866) 950-3627
Entity
Organization
Contact information
Practice address
1331 W GRAND PKWY N, STE 145, KATY, TX 77493-2717
(866) 950-3627
(800) 652-8206
Mailing address
1450 W GRAND PKWY S, G-240, KATY, TX 77494-8300
(866) 950-3627
(800) 652-8206
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182737003
—
TX
01
—
DF4589
RAIL RD. MEDICARE
TX
Enumeration date
05/04/2006
Last updated
10/05/2012
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