EXECUTIVE SOLE PODIATRY, PLLC

HOUSTON, TX
NPI1053929430
Entity TypeOrganization
Authorized ContactANETRA SHARICE MIRANDA
Podiatrist
866-925-5662
Organization Subpart ?No
Primary Taxonomy261QP1100X Clinic/Center, Podiatric
Enumeration Date2020-07-21
Last Update Date2021-05-06
Business Address
EXECUTIVE SOLE PODIATRY, PLLC
5373 W ALABAMA ST STE 204
HOUSTON, TX 77056-5923
Phone number: 866-925-5662
Mailing Address
EXECUTIVE SOLE PODIATRY, PLLC
6445 FM 1463 RD STE 160-213
KATY, TX 77494-4027
Phone number: 866-925-5662
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