| NPI | 1184806044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM JOE RUDE Owner/Physician 979-776-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX K9893) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2024-04-23 |