| NPI | 1437702909 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | STEPHEN BARRETT CEO 832-524-7254 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 208VP0000X | |
| Enumeration Date | 2019-07-23 | 
| Last Update Date | 2020-02-11 |