| NPI | 1306063169 |
|---|---|
| Doing Business As | THE FOOT DOCTOR |
| Entity Type | Organization |
| Authorized Contact | MISTY D BAKER Podiatrist 903-753-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX L1758) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX L1758) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2009-12-02 |