| NPI | 1023414216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KEVIN COOK Owner 432-618-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2022-07-29 |