| NPI | 1104928506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBE LYNN RICKEN President 713-771-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX 1004) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 0672) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |