| NPI | 1962698290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IWONA L CIBA President 281-395-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 1427) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 1427) |
| 213ES0000X Podiatrist, Sports Medicine (Licence: TX 1427) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: TX 1427) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2010-10-06 |