| NPI | 1942220470 |
|---|---|
| Doing Business As | SOUTHLAKE FAMILY FOOT CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLEEN HANDZEL Owner/Physician 817-329-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1434) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-10-27 |