| NPI | 1851565238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J SWARTZ Manager 409-762-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 0451) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0451) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2011-09-27 |