| NPI | 1982628533 |
|---|---|
| Doing Business As | CORSICANA FOOT CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT PETTY Owner 903-872-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1499) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-07-21 |