| NPI | 1619017050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY STEPHEN GRINDSTAFF Owner 915-845-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1465) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2024-02-12 |