| NPI | 1194839563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA LOUISE GARZA Billing Manager 979-776-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2019-01-17 |