| NPI | 1487521134 |
|---|---|
| Doing Business As | BROADWAY G FOOT ANKLE AND WOUND CARE |
| Entity Type | Organization |
| Authorized Contact | KIRUBEL T GEBRESENBET Manager 972-435-6096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2025-10-18 |
| Last Update Date | 2026-04-02 |