| NPI | 1295561207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN EDWARD MAPULA Owner 915-373-4338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-10-01 |