Executive Sole Podiatry, PLLC
NPI 1053929430ActiveOrganization· Clinic/Center, Podiatric· Houston, TX
Clinic/Center, Podiatric in Houston, Texas, registered in NPPES in July 2020. The authorized official on file is Anetra Sharice Miranda, DPM, Podiatrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053929430 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 21, 2020 |
| Last updated in NPPES | May 6, 2021 |
| Certified by provider | May 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Podiatric Primary | 261QP1100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Clinic/Center, Podiatric providers in Houston
- 1265332902
- 1376413724
- 1417205568
- 1689383663
- 1801697347
- 1831581123