| NPI | 1154844348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY HAMILTON Owner 682-223-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2018-01-31 |