| NPI | 1609918697 |
|---|---|
| Other Name | F.A.S.T |
| Entity Type | Organization |
| Authorized Contact | JOSIE REDFEARN Office Manager 915-533-1622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 0458) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2013-10-28 |