Organization
DIAGNOSTIC FOOT SPECIALISTS OF VICTORIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S LISCH DPM (OWNER)
(832) 368-6841
Entity
Organization
Contact information
Practice address
2710 HOSPITAL DR, SUITE 115, VICTORIA, TX 77901-5701
(361) 575-5222
Mailing address
PO BOX 19441, HOUSTON, TX 77224-9441
(361) 575-5222
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0787
TX
Other
Enumeration date
05/29/2013
Last updated
04/29/2014
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