Organization
YOUR TOTAL FOOT CARE SPECIALIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M. JACOBS DPM (OWNER)
(281) 395-3338
Entity
Organization
Contact information
Practice address
23230 RED RIVER DR, KATY, TX 77494-2046
(813) 953-3382
(281) 395-3496
Mailing address
23230 RED RIVER DR, KATY, TX 77494-2046
(281) 395-3338
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1064
TX
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185896101
—
TX
01
—
5476250001
MEDICARE NSC
TX
Enumeration date
01/03/2007
Last updated
10/07/2024
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