| NPI | 1730971045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH SAPPINGTON Sole Member 254-300-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 261QP1100X Clinic/Center, Podiatric | |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-05-21 |