| 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 |