| NPI | 1831581123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ANTHONY NEVINS Owner 281-731-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: TX 1388) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |