| NPI | 1033545512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS AYALA Owner 956-631-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: TX P4845) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX P4845) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-12-09 |