| NPI | 1295064780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJARAM BALA President 210-225-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX E4968) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2010-10-05 |