Organization
SPRING BRANCH PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBI MOYA (OFFICE MANAGER)
(713) 461-1010
Entity
Organization
Contact information
Practice address
9055 KATY FWY, #460, HOUSTON, TX 77024-1697
(713) 461-1010
(713) 973-7200
Mailing address
9055 KATY FWY, #460, HOUSTON, TX 77024-1697
(713) 461-1010
(713) 973-7200
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1536
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088310003
—
TX
05
—
143488804
—
TX
01
—
1457321713
NPI
—
01
—
1609846328
NPI
—
05
—
176436701
—
TX
01
—
4103660
AETNA
—
01
—
480033636
RR MEDICARE
—
01
—
480033637
RR MEDICARE
—
01
—
7271253
AETNA
—
Enumeration date
01/24/2006
Last updated
10/02/2024
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