NPI | 1932493574 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL THOMAS MARCIANO Owner 817-424-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2176) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 1364) |
Enumeration Date | 2011-05-31 |
Last Update Date | 2016-12-13 |