| NPI | 1205076494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA REILLY-NIVERS Manager 832-526-7567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: TX 1618) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |