Organization
PURPLE GATOR, LLC
Active
Other names
Houston Foot and Ankle Professional Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SELBST (MEMBER)
(832) 930-0362
Entity
Organization
Contact information
Practice address
17115 RED OAK DR, SUITE 218, HOUSTON, TX 77090-2641
(832) 930-0362
(832) 779-4362
Mailing address
17115 RED OAK DR, SUITE 218, HOUSTON, TX 77090-2641
(832) 930-0362
(830) 779-4362
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2006
TX
Other
Enumeration date
07/02/2015
Last updated
10/08/2015
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