| NPI | 1437514510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MARROQUIN Administrator 512-763-4690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 208D00000X General Practice |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2018-03-22 |