| NPI | 1326834995 |
|---|---|
| Other Name | PLASTIC & RECON SURGERY CLINIC DME |
| Entity Type | Organization |
| Authorized Contact | AMANDA GEORGE Vice Chancellor CFO 501-686-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |