| NPI | 1144478694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO TREVINO Owner 956-718-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1856) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2015-09-16 |