| NPI | 1184635021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MARK KLETZ Podiatrist 214-340-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1102) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-04-10 |