| NPI | 1306388400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ELLIS Owner/Administrator 713-377-2167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 10105797-0501) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |