| NPI | 1467958538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE DIANE GAYNOR Owner 210-644-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: TX 1909) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-11 |