NPI | 1528163805 |
---|---|
Doing Business As | THE FOOT DOCTOR P.A. |
Entity Type | Organization |
Authorized Contact | GREGSON STANSFIELD EDWARDS Podiatrist 956-546-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 840) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2020-08-22 |