| NPI | 1700057163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN ROBIN MILLER Podiatrist/Owner 361-814-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1441) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2010-11-22 |