NPI | 1053805069 |
---|---|
Other Name | ROUND ROCK DME PODIATRY |
Entity Type | Organization |
Authorized Contact | JAY FOX CEO 512-509-0409 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2018-06-22 |
Last Update Date | 2020-01-22 |