| NPI | 1750464251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASANDRA ZAMORA Office Manager 512-327-9251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 547) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 575) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-02-22 |