| Organization Name: | TOMBALL FOOT AND ANKLE CENTER PC |
| NPI Number: | 1053470120 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES HAMMONDS (OWNER) |
| Mailing Address: | 425 Holderrieth Blvd 100 Tomball |
| State: | TX US |
| Postal Code: | 773754543 |
| Phone Number: | 2813518866 |
| Fax Number: | 2812559374 |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 08/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 00379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |