| NPI | 1346477304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MARCIANO Owner 817-424-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1364) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2016-12-12 |