| NPI | 1255388013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R IPPOLITO Managing Partner 972-867-2731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-08-04 |