| NPI | 1891978326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SCOTT MORAN Podiatric Surgeon 281-290-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: TX 1520) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2009-03-20 |