| NPI | 1134448277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BANCROFT Owner/Physician 281-313-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX N1992) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2011-08-31 |