| NPI | 1336322981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD R ANDERSEN Owner 979-836-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 0312) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2008-06-30 |