| NPI | 1366611006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MARK KLETZ President 214-340-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1102) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-04-24 |