| NPI | 1114195104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EXLINE MARTIN Physician 972-566-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX G5334) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2025-07-30 |