| NPI | 1255510103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S. BASTAWROS President 972-491-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1459) |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2022-09-20 |