| 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 |