| NPI | 1316270622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL JONES Executive Director 214-275-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2015-08-15 |