NPI | 1023122876 |
---|---|
Former Legal Business Name | LUBBOCK PLASTIC SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | C MICHEL OLIVA Owner/Medical Director 806-791-3377 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2006-08-18 |
Last Update Date | 2010-05-17 |