| NPI | 1225407489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAN K PATEL Managing Member 405-205-5966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2170) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2171) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |