| NPI | 1871998534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILAS ODANGA. SALANO Podiatrist/Owner 817-800-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 2080) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2017-05-11 |