| NPI | 1851519268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM E SHIELDS Medical Director 713-253-5441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: TX 1150) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |