Organization
TEXAS MOBILE FOOT CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA REILLY-NIVERS D.P.M. (MANAGER)
(832) 526-7567
Entity
Organization
Contact information
Practice address
3222 BURKE RD, SUITE 102, PASADENA, TX 77504-1859
(713) 948-0400
(713) 948-0401
Mailing address
12705 RIO BRAVO ST, ROSHARON, TX 77583-4073
(832) 526-7567
(713) 948-0401
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1618
TX
Other
Enumeration date
02/27/2009
Last updated
02/27/2009
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