| NPI | 1972781730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC STOCK Owner 713-662-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1218p) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2010-01-20 |