| NPI | 1497150312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOFFATT DAVID ADAMS President 210-497-4642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1845) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2024-01-04 |