| NPI | 1013239615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN NGUYEN-KHOA President 817-265-1595 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: TX DP1396) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |