| NPI | 1306284492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIE REDFEARN Office Manager 915-533-1622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1526) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1898) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1587) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |