| NPI | 1790008670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRI LE President 281-397-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1479) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 1479) |
| 213ES0131X (Licence: TX 1479) | |
| 213E00000X Podiatrist (Licence: TX 1479) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2010-03-08 |