NPI | 1376750331 |
---|---|
Entity Type | Organization |
Authorized Contact | JED MICHAEL WELLS President 956-726-9797 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX tx1355) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2015-06-12 |