OrganizationActive
Executive Sole Podiatry, PLLC
NPI 1053929430 · Podiatric Clinic/Center · Houston, TX
Provider details
- NPI number
- 1053929430
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Anetra Miranda, Podiatrist
Practice location
5373 W Alabama St Ste 204
Houston, TX 77056-5923
Phone: (866) 925-5662
Fax: (866) 925-5662
Mailing address
6445 Fm 1463 Rd Ste 160-213
Katy, TX 77494-4027
Registry dates
- Enumerated
- 2020-07-21
- Last updated
- 2021-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.