| NPI | 1124155957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MATTHEW ALLEN Podiatrist 903-675-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1533P) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |