| NPI | 1588156772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCARLETTE YVONNE COPELAND Office Manager 469-247-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-09-28 |