NPI | 1982115259 |
---|---|
Entity Type | Organization |
Authorized Contact | REBEKAH DENISE FONTENOT Owner 281-910-7172 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2189) |
Enumeration Date | 2017-10-13 |
Last Update Date | 2018-09-10 |