| NPI | 1013772607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS WADLINGTON Vice President 972-401-9807 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-02-14 |