| NPI | 1194270579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP DAVID APPLEGATE President 832-376-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2188) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-06-25 |