| NPI | 1316306038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DAVILA President 281-453-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX L9166) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX L9166) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2019-01-29 |