| NPI | 1225400674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WILLIAMS Owner 972-746-7471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CO DR.0055459) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-11-11 |