1467829572 NPI number — LEMAR FOOT AND ANKLE INSTITUTE, PLLC

Table of content: (NPI 1467829572)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467829572 NPI number — LEMAR FOOT AND ANKLE INSTITUTE, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEMAR FOOT AND ANKLE INSTITUTE, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467829572
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/21/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1213 HERMANN DR STE 250
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77004-7018
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-403-3221
Provider Business Mailing Address Fax Number:
832-403-3223

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1213 HERMANN DR., STE 250
Provider Second Line Business Practice Location Address:
SUITE 610
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-403-3221
Provider Business Practice Location Address Fax Number:
832-403-3223
Provider Enumeration Date:
08/24/2015

Additional Information

Authorized Official

Authorized Official Last Name:
LEMAR
Authorized Official First Name:
ONYA
Authorized Official Middle Name:
VICTORIA
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
504-813-2358

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , with the licence number:  2126 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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