| NPI | 1003930231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATINA DIONNE STONE BUTLER Practice Administrator 940-300-3054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-07-15 |