NPI | 1720300445 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL N VERVILLE Owner 214-385-8822 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1902) |
Enumeration Date | 2010-02-22 |
Last Update Date | 2016-10-12 |