NPI | 1184078479 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID C SAPPINGTON Medical Director 254-300-7703 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2222) |
Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric (Licence: TX 2222) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 2222) | |
Enumeration Date | 2016-04-22 |
Last Update Date | 2024-10-03 |