Organization
ELITE FOOTCARE OF TEXAS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURTE SHEPHERD D.P.M., M.S.I.S. (DIRECTOR 1)
(281) 489-6594
Entity
Organization
Contact information
Practice address
4501 CARTWRIGHT RD, STE 208, MISSOURI CITY, TX 77459-3534
(832) 539-1620
(832) 539-1621
Mailing address
10223 BROADWAY ST, STE. P246, PEARLAND, TX 77584-7880
(281) 489-6594
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1563
TX
332B00000X
Durable Medical Equipment & Medical Supplies
1563
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529075002
—
TX
Enumeration date
01/30/2008
Last updated
02/20/2009
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