| NPI | 1306320411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LEE SIMMS Certified Hair Loss Specialist 512-207-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |