| NPI | 1104150556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTINA N DURU Podiatrist President 972-790-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1903) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2013-01-07 |