| NPI | 1750415576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH R ELINE Owner 830-372-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1237) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-07-23 |