| NPI | 1366088163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA SURA Office Manager 281-901-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease |
| 211D00000X Assistant, Podiatric | |
| 213EP0504X Podiatrist Public Medicine | |
| 213ER0200X Podiatrist Radiology | |
| 213ES0000X Podiatrist Sports Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 213ES0131X Podiatrist Foot Surgery | |
| 222Z00000X Orthotist | |
| 224L00000X Pedorthist | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2025-04-29 |