| NPI | 1407033400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN A BEEDE Authorized Official 817-763-9383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: TX 1317) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2026-05-22 |