| NPI | 1265963854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY STEPHENSON BYRD Manager 214-821-9662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: TX D9379) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |