| NPI | 1508457649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BRISSETTE Front Desk/Billing 361-576-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-02 |