| NPI | 1992327811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GONZALEZ Podiatrist/President 915-422-3776 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |