| NPI | 1730382003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MILLER President 972-270-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 0425) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2022-07-21 |