| NPI | 1992787204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAYNE GORDON Practice Administrator 713-988-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: TX 0803) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2011-03-01 |