| NPI | 1063979482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER A EVANS President 512-804-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 208D00000X General Practice | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2024-07-15 |