| NPI | 1245145952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOSANWUMI EHANIRE Owner 512-256-9846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2026-08-17 |
| Last Update Date | 2026-09-22 |