| NPI | 1215315171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN JEROME KRONOWITZ Manager 832-236-4437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX L0335) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |