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 |