| NPI | 1003166455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN JOHNSON Provider Relations Specialist 713-586-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-18 |