| NPI | 1376841080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRYNCESS STEPHENS Physician 832-644-9412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: TX 1924) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |