Organization
FOOTSTAR PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIDA NISAR DPM (PODIATRIST)
(630) 656-0680
Entity
Organization
Contact information
Practice address
16211 CLAY RD STE 110, HOUSTON, TX 77084-5420
(630) 656-0680
Mailing address
16211 CLAY RD STE 110, HOUSTON, TX 77084-5420
(630) 656-0680
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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