| NPI | 1922550722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA MOBARAK Owner 214-396-7324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1714) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |