| NPI | 1376964817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO J. BORRELL Owner 713-850-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 1223G0001X Dentist, General Practice | |
| 152W00000X Optometrist | |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2014-03-13 |