| NPI | 1720464837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY KAY BARROW Credentialing Coordinator 214-396-3936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 1576) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |