| NPI | 1437403821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT WOOD Owner/Manager 512-719-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: TX 1890) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2021-07-26 |