NPI | 1497937759 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN ELIHUE CODWELL Owner/President/Medical Director 713-526-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1279) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 4876770001) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2022-03-09 |