| NPI | 1275863805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL BLUHM Managing Member / Registered Agent 210-949-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: TX 1676) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1676) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2016-09-07 |