| NPI | 1063405504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ROBERT LEDOUX President 210-692-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2023-02-22 |