| NPI | 1003844176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI CERAMI Chief Operating Officer 817-796-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2015-07-13 |