Organization
HOU FOOT ANKLE PRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN H SELBST (MEMBER)
(832) 930-0362
Entity
Organization
Contact information
Practice address
131 CIRCLE WAY ST STE A, LAKE JACKSON, TX 77566-5233
(979) 429-3621
(832) 779-4362
Mailing address
131 CIRCLE WAY ST STE A, LAKE JACKSON, TX 77566-5233
(979) 429-3621
(832) 779-4362
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2006
TX
Other
Enumeration date
02/02/2017
Last updated
09/13/2021
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