| NPI | 1275846768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD A BADER Owner 972-596-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX N4928) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |