| NPI | 1053584334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PERRIN STAPENHORST Director 281-980-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX M5522) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX M5522) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |