| NPI | 1598140972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLIE N SEAGO Revenue Cycle Manager 214-378-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX TX2042) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |