Organization
KUTCHBACK PODIATRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH KUTCHBACK (OFFICE CONTACT)
(936) 273-7831
Entity
Organization
Contact information
Practice address
17191 ST LUKES WAY, SUITE 290, THE WOODLANDS, TX 77384-8042
(936) 273-3311
(936) 273-3368
Mailing address
71 N SUMMER CLOUD DR, THE WOODLANDS, TX 77381-6224
(936) 273-7831
(936) 273-7831
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1755
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180070801
—
TX
Enumeration date
05/25/2012
Last updated
09/02/2016
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