| NPI | 1356672976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT STEPHEN MAGUIRE Owner 318-572-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: LA 023149) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-08-20 |