| NPI | 1063830560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIANE NGUYEN Member 915-603-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1897) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-08-08 |