| NPI | 1053503482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANHUONG THI PHAM Podiatrist 903-885-2754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: TX 1633P) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2025-09-01 |