Individual
DR. REBEKAH DENISE FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
15003 FM 529 RD, HOUSTON, TX 77095-4375
(281) 910-7172
(281) 503-7812
Mailing address
PO BOX 50, STAFFORD, TX 77497-0050
(281) 910-7172
(281) 503-7812
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2189
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365966601
—
TX
05
—
365966602
—
TX
05
—
365966603
—
TX
05
—
365966604
—
TX
05
—
365966605
—
TX
05
—
365966608
—
TX
01
—
8JC567
BCBS TX
TX
01
—
P01770658
RAILROAD MEDICARE
TX
01
—
P02029593
RR MEDICARE PTAN
TX
Enumeration date
05/01/2013
Last updated
09/10/2018
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