| NPI | 1134537483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M. KEAN Chief Operating Officer 210-804-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2023-08-11 |