| NPI | 1285042556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELINA MARTINEZ Administrative Director 210-201-2806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2022-05-31 |