NPI | 1316104763 |
---|---|
Entity Type | Organization |
Authorized Contact | MAX S RIBALD Owner/Podiatrist 817-860-9121 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 0586) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-11-07 |