NPI | 1326266743 |
---|---|
Doing Business As | BAYSHORE PODIATRY |
Entity Type | Organization |
Authorized Contact | NESTOR MARTIN PACHECO Podiatrist 361-883-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 1242) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2010-02-09 |