| NPI | 1104861475 | 
|---|---|
| Doing Business As | HEALTHDRIVE PODIATRY GROUP | 
| Entity Type | Organization | 
| Authorized Contact | MICHELE LEE TRBOVICH President/Practice Director 214-697-0727  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 213E00000X Podiatrist | 
| Enumeration Date | 2006-06-19 | 
| Last Update Date | 2020-01-02 |