| NPI | 1689925638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE THOMAS KEENEN Member 210-865-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1925) |
| Enumeration Date | 2012-09-29 |
| Last Update Date | 2013-04-21 |