| NPI | 1376720565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURTE SHEPHERD Director 1 281-489-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 1563) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1563) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2009-02-20 |