| NPI | 1053350082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT E STAHL Owner/President 409-242-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1748) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2023-01-18 |