| NPI | 1376738971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA L NUNEZ CEO 817-424-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery |
| 213ER0200X Podiatrist Radiology | |
| 213ES0131X Podiatrist Foot Surgery | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2021-02-10 |