| NPI | 1174982375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIOS ZIAKAS Owner 281-901-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX M7789) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX M7789) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-12-05 |