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 |