| 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 |