| NPI | 1124119557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NED SNYDER Owner 512-533-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Additional Taxonomies | 174400000X Specialist (Licence: TX M0927) |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2017-05-01 |