| NPI | 1992075063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANGELA LASHUN ANDERSON Owner 903-593-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1534) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-02-07 |