| NPI | 1285371401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULI SMIDDY Practice Administrator 972-331-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |