| NPI | 1558589853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUADALUPE JAVIER CAVAZOS Owner 956-618-2970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 1263) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-06-25 |