| NPI | 1639439409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KUTCHBACK Office Contact 936-273-7831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1755) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2016-09-02 |