| NPI | 1093171761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER T NGUYEN Manager 214-613-1589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: TX N5907) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2018-03-22 |