NPI | 1114162807 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE ANNE MAKARWICH Office Manager 817-820-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX L3330) |
Enumeration Date | 2008-12-09 |
Last Update Date | 2008-12-09 |