| NPI | 1376035063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN R FEIN Owner/Physician 832-301-9871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: TX 2324) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2020-03-06 |