| NPI | 1841043767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRISHA POKALA Podiatric Surgeon 682-551-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-26 |