| NPI | 1083023303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE K TEOTIA Physician/Owner 214-823-9652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX P2194) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2015-03-04 |