| 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 |