| NPI | 1588149280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM QAYUM Owner 832-781-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |