| NPI | 1306205992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN WAREING BEALE Medical Director/President 972-566-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TX P2955) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-07-28 |