| NPI | 1083693907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE DICKSON Administrator 361-993-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1463) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2008-10-20 |