| NPI | 1639695406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY GREENBERG Rma, Administration Assistant 832-835-1442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX tx-2031) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2018-03-17 |