| NPI | 1356442693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD PENNINGTON President 512-353-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX J1347) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 1440) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-01-13 |