| NPI | 1770618217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY MICHAEL LEW President 817-615-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1495) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-02-21 |