| NPI | 1093919631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN JOHNSON Credentialing 713-586-6778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: AZ 0557) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2012-01-18 |