| NPI | 1487029617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVA KRISTINE WASHKO Owner 832-644-9798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2138) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2018-08-10 |