| NPI | 1720337173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHA M MOBARAK CEO 972-709-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1933) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2015-01-07 |