| NPI | 1205887585 |
|---|---|
| Doing Business As | GEORGETOWN PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | CRAIG ALLEN STAEBEL Owner/President 512-686-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX L3142) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-22 |