NPI | 1073887386 |
---|---|
Entity Type | Organization |
Authorized Contact | PATTY YOUNG Physician Owner 972-398-1131 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX H5504) |
Enumeration Date | 2012-03-05 |
Last Update Date | 2012-03-05 |