| NPI | 1093935801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON J LEWIS President 972-263-7042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: TX 1574) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-05-06 |