NPI | 1235286485 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES M. JACOBS Owner 281-395-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1064) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-01-03 |
Last Update Date | 2024-10-07 |