| NPI | 1023272549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON CORDE MASON President 210-913-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX M5358) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M5358) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |