NPI | 1467170241 |
---|---|
Doing Business As | RIVER OAKS FOOT & ANKLE SPECIALISTS |
Entity Type | Organization |
Authorized Contact | LARA R ZACCA Provider 254-739-5744 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Enumeration Date | 2022-08-18 |
Last Update Date | 2023-08-16 |