| NPI | 1245883537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT OLSAN Administrator 281-467-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |