| NPI | 1811126501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD BACHMANN Member 713-252-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: TX DPM1010) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX J1526) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |