| NPI | 1033938766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINAH WAN Physician 972-919-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-18 |