| NPI | 1154743227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE KENNEDY President 806-674-8261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: TX K0325) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |