Organization
DIAGNOSTIC FOOT SPECALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L HAASE DPM (OWNER)
(713) 862-3338
Entity
Organization
Contact information
Practice address
9319 PINECROFT DR, #120, THE WOODLANDS, TX 77380-3484
(713) 862-3338
(713) 862-8328
Mailing address
1740 W 27TH ST, #110, HOUSTON, TX 77008-1440
(713) 862-3338
(713) 862-8328
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1746
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T49R
MEDICARE GROUP ID#
TX
Enumeration date
01/29/2015
Last updated
01/29/2015
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