| NPI | 1114139730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP JOHN HAHN Doctor 903-791-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1134) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2014-10-22 |