| NPI | 1104357284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA ANNELL MOSELEY Owner/Director 214-208-9697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2057) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |