| NPI | 1528263712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JAMES HAUSENFLUKE Owner Physician 214-369-3969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: TX 1516) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2016-09-28 |