| NPI | 1861098014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO A VARGAS Owner 281-313-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 225100000X Physical Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |