| NPI | 1134304538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA L MOLINA Office / Billing Manager 972-248-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2022-05-09 |