| NPI | 1649651837 |
|---|---|
| Doing Business As | SPA915 |
| Entity Type | Organization |
| Authorized Contact | DAVID BRENT WILLIAMS Owner 915-491-6346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1749) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2016-04-21 |