| NPI | 1053793513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NGUYEN Doctor Podiatric Medicine 832-877-5749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY N004232) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |