| NPI | 1174490924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO ZAPICO Credentialing Specialist 210-970-8010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 213E00000X Podiatrist | |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-17 |