| NPI | 1962886614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRACTICE ADMINISTRATOR General Manager 281-661-1986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-10-14 |