| NPI | 1992816912 |
|---|---|
| Former Legal Business Name | SOUTH CLINIC FOOT CLINIC A PROFESSIONAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | DENNIS L BERGER President 512-447-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 0823) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 0709) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-02-22 |