| NPI | 1164549887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULI SMIDDY Practice Administrator 972-331-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: TX na) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 19138) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-04-16 |