| NPI | 1306994686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN G CORUM Owner 361-884-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1505) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2009-10-30 |