| NPI | 1427119262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNONO GALLENTINE President 972-230-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 1513) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |