NPI | 1538198767 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD B KILLIAN Podiatrist Owner 361-334-1136 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1537) |
Enumeration Date | 2006-07-01 |
Last Update Date | 2008-07-11 |