| NPI | 1629503933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARITA DANYEL DILLARD Provider/Owner 832-617-6963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2215) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2018-05-30 |