| NPI | 1548201593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE W HAYES Owner 903-892-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 1284) |
| Additional Taxonomies | 213EP0504X Podiatrist, Public Medicine (Licence: TX 1284) |
| 213ER0200X Podiatrist, Radiology (Licence: TX 1284) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: TX 1284) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1284) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: TX 1284) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2013-02-05 |