Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Executive Sole Podiatry, PLLC

Organization Podiatric Clinic/Center · NPI 1053929430

Executive Sole Podiatry, PLLC is a Podiatric Clinic/Center in Houston, Texas. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5373 W Alabama St Ste 204
Houston, TX 77056-5923
Phone: (866) 925-5662
Fax: (866) 925-5662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatric Clinic/Center (primary) Taxonomy 261QP1100X

Record details

NPI number1053929430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anetra Miranda — Podiatrist · (866) 925-5662
NPI enumeratedJuly 21, 2020
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021
Mailing address6445 Fm 1463 Rd Ste 160-213, Katy, TX 77494-4027

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