| NPI | 1215152251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY R JACOBS President And Co Owner 903-753-2276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX E4427) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2016-07-18 |